Assignment task:
Your ENT intern calls you to come and help with their second case of a peritonsillar abscess. The intern looks proud and reassures you that he has made the patient comfortable so the procedure will be quick with great patient cooperation. You come in to the room and find the patient's lips, nails, and skin to be grayish-blue. Pulse oximetry reads 85%, and does not change after he is put on high flow oxygen. He complains of mild shortness of breath, but is not in distress and is mentating appropriately. You notice that the patient's wristband says allergic to aspirin/sulfa. What is the most appropriate next step? Need Online Tutoring? A. Ask the patient/family members about a history of G6PD deficiency B. Administer narcan C. Administer 1mg/kg of IV methylene blue D. Proceed with treating the abscess as the patient is expected to improve spontaneously in the next several minutes