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What is the preferred method of administering medication to a child in a respiratory emergency?

Oral ingestion

Nebulization or inhalation route

In a respiratory emergency, the preferred method of administering medication to a child is through nebulization or inhalation. This approach allows for immediate delivery of medication directly to the lungs, where it can have a rapid effect on the airway. Inhalation therapies, such as nebulizers or metered-dose inhalers, are particularly effective for conditions like asthma or reactive airway disease because they work by relaxing bronchial muscles and reducing inflammation.

Using this method minimizes the time it takes for the medication to start working, which is critical in emergencies where breathing difficulties are involved. The nebulization route also helps ensure that the medication can reach the alveoli effectively, optimizing therapeutic outcomes compared to other routes like oral or rectal administration.

In contrast, oral ingestion is not ideal in emergency situations, as it takes longer for the medication to be absorbed and reach systemic circulation, which can delay treatment in critical scenarios. Intravenous injection, while effective in many emergency situations, is less typical specifically for respiratory emergencies in pediatrics unless there are additional complications requiring systemic treatment. Rectal administration is generally used for specific cases, such as seizures or when other routes are not available, but does not provide the same rapid relief for respiratory symptoms as inhalation does.

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Intravenous injection

Rectal administration

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