A 33-year-old female with a history of asthma is in acute respiratory distress and has an oxygen saturation of 89%. After administering high-flow oxygen, what should you do next?

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Administering high-flow oxygen is a crucial first step in managing a patient with respiratory distress, especially one with a history of asthma. After providing oxygen, it is essential to address the underlying issue, which, in this case, involves the bronchospasm and inflammation characteristic of an asthma exacerbation.

Assisting the patient with another albuterol treatment is appropriate because albuterol is a bronchodilator that helps open the airways, improving airflow and reducing respiratory distress. Given that the patient is in acute distress with low oxygen saturation, this intervention can have an immediate positive impact on her condition. The use of additional albuterol may help alleviate the bronchoconstriction and improve oxygenation.

In contrast, while performing CPR is critical in cases of cardiac arrest, it is not relevant here unless the patient loses consciousness or stops breathing altogether, which is not indicated in this scenario. Administering a steroid injection may be beneficial in the long term for inflammation, but it doesn't provide immediate relief in acute distress. Transporting the patient without further intervention does not address her immediate needs and could worsen her condition, as she requires active treatment to stabilize her breathing.

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