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all right so students today youre working in the emergency department you are called in to help out when a 10-year-old child is brought in after developing breathing difficulty the vital signs are if you want to write these down heart rate is 200 blood pressure is 74 over 35 respiratory rate is 46 spo2 is 82% on room air the temperature is 99.7 the weight is 30 kilograms and the child is 10 years of age do you need me to repeat any of those bot signs we have the child on a monitor and you can begin asking your questions is there a p there is a pulse do you want to know anything about the childs history yes the child developed acute shortness of breath and difficulty with breathing about an hour ago theres no chest pain no recent illness is what other questions do you want to be asking taking medications no medications what else allergies no allergies anything else last meal um last meal was yesterday she had suffer with the family theres a question you all are missing lung sounds l