Medical Emergencies · single question

The same pregnant asthmatic forgot her rescue inhaler at home and needs pericoronitis treatment. What is the most appropriate approach?

  1. Reschedule elective treatment until she has her inhaler available, while managing acute infection conservatively
  2. Proceed with extensive treatment regardless
  3. Administer nitrous oxide as a substitute for her inhaler
  4. Treat her with no precautions
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Correct answer: A. Reschedule elective treatment until she has her inhaler available, while managing acute infection conservatively

Without her rescue medication, the safest course is to defer elective/stress-inducing treatment, manage the acute problem conservatively (e.g., irrigation, appropriate antibiotics/analgesics), and reappoint once her inhaler is available.Other options: Proceeding without her medication, substituting nitrous oxide for a bronchodilator, or taking no precautions increases the risk of an asthma attack.Key exam takeaway: Asthmatic without rescue inhaler: defer elective care, manage acutely and conservatively, and ensure the inhaler is available next visit.

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