A 62-year-old man with a history of congestive heart failure presents with severe respiratory distress and an oxygen saturation of 82. When you auscultate his lungs you hear widespread rales.
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B When the child cannot take oral fluids because of respiratory distress IV fluids are administered.
. The child with a continuous IV infusion must be assessed hourly to prevent complications. He is conscious and alert is able to follow simple commands and can only speak in two- to three-word sentences at a time. Much oxygen to a child may lead to respiratory depression by decreasing the stimulus to breathe leading to carbon dioxide retention.
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