For the patient experiencing respiratory distress, what initial therapy would you recommend based on the assessment?

In cases of respiratory distress, the priority is to ensure adequate oxygenation and relieve symptoms. Administering oxygen by nasal cannula at 4 L/min is a common and effective initial therapy for patients who are hypoxic or showing early signs of respiratory distress. This method is simple, non-invasive, and can significantly improve oxygen saturation levels in patients with mild to moderate respiratory issues.

Providing supplemental oxygen helps to increase the amount of oxygen available for gas exchange in the lungs, assisting patients who may be experiencing conditions like pneumonia or asthma exacerbations. The use of a nasal cannula also allows for better mobility and comfort for the patient compared to other options that may require more invasive procedures or equipment.

Other therapies, while potentially suitable for specific situations, may not be the best initial approach. For instance, bag-mask ventilation is typically reserved for situations where the patient cannot breathe on their own and requires more immediate and comprehensive respiratory support, which may not be the priority in all cases of respiratory distress. Chest physiotherapy is more relevant for patients with secretions needing mobilization and would not directly address immediate oxygen needs. Non-invasive ventilation can be beneficial for conditions like COPD exacerbations but is often reserved for cases where there is significant respiratory failure or distress requiring more intensive support