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January 2012, Volume 42 Number 1 , p 72 - 72


  • Robin Lawson DNP, MSN


K, a previously healthy 10-month-old girl, arrives in the ED with a cough. Her mother says K has been coughing sporadically for the past few hours and began to turn blue during one of the coughing episodes.K's mother says that about 6 hours earlier, as she was changing K's diaper, K picked up an open bottle of baby powder. She inverted the bottle toward her mouth, took a deep breath, and began to choke. Her mother picked her up and dusted off the visible powder from her face. She seemed to be her usual self except for continued coughing.K's vital signs are: temperature, 99.9o F (38o C); heart rate, 196; respirations, 62; BP, 80/42; and SpO2, 89% on room air. K is placed on a stretcher and attached to a cardiac monitor and pulse oximeter; I.V. access is initiated. Physical assessment reveals traces of a fine white powdery substance in her nares, nasal flaring, labored breathing, intercostal retractions, and wheezes throughout all lung fields except for diminished breath sounds in the left

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