6. Choice C is correct. Dysphonia after closed space inhalation injuries should be taken seriously. Airway inflammation and swelling develops quickly and can lead to problems getting an airway. It is advised to be performed by an experienced provider or at least have them available for back up. While racemic epinephrine aerosol would improve the patient initially, the patient could rebound and get much worse. If there truly is an inhalation injury, the airway swelling will develop quickly and racemic epinephrine will not be effective. Choice A is incorrect. In these instances, there is a lot of emotion and often the patients want to be discharged to be with there family. His Sp02 is 100% but he could have some significant carbon monoxide exposure. Remember he has a headache and carbon monoxide can cause falsely high Sp02 and a carboxyhemoglobin needs to be done.
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