Despite 100% oxygen and the administration of a beta-2 agonist, a conscious 9-year-old female still has diffuse expiratory wheezing and respiratory distress. medical control or local protocol will most likely dictate the administration of:

The diffuse expiratory wheezing occurs when a person exhales. The expiratory wheezing can be heard easily, and it occurs because of the mild obstruction in the airway. The respiratory distress occurs when the fluid is filled in the air sac in the lungs. The patient is given beta 2 agonist to control the symptoms, as it causes the dilation of the smooth muscles present in the bronchial passage. But since, the dilation is not helping the patient in controlling the wheezing, following the protocol, she should be given 1;1000 epinephrine SC.

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