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Instruction Manual Pediatric HAL® S3004/S3005 Pediatric HAL® Five Year - Respiratory Scenario Asthma A five year old, known asthmatic began coughing and wheezing the previous day. His parents had “run out“ of his daily steroid inhaler two weeks ago. He received two nebulized Albuterol the day before and slept through the night. He had one treatment this morning but by mid morning he was in respiratory distress with audible wheezing and visible retractions. He cannot speak in full sentences. Appearance: Audible wheezing and visible retractions, “can’t breathe” HR: 150 BP: 120/80 RR: 40 O2: 88% Lung sounds: Bilateral Wheezing Temperature: 38.4 Deg C Wait indefinitely for O2 and Albuterol Administer O2 via face mask and give inhalation treatment with albuterol O2 Sat 90% Transition Time: 30 sec Wait indefinitely for second inhalation treatment with albuterol and atrovent HR 150 RR: 35 O2: 92% BP: 120/80 Lung sounds: Bilateral Wheezing Temperature: 38.4 Deg C Transition Time: 30 sec Administer corticosteroids and transport to ED End 190 Copyright 2010 by Gaumard Scientific. All rights reserved.