You respond to a 68-year-old male complaining of shortness of breath. He is sitting upright, speaking in 2–3 word sentences.
Assessment findings:
- RR: 28 and labored
- SpO₂: 90% on room air
- Audible wheezes
- BP: 168/94
- HR: 112
- History: COPD and hypertension
He has a prescribed albuterol inhaler but has not used it yet.
What is your best initial action?
A. Assist the patient with his prescribed albuterol inhaler
B. Apply a nonrebreather mask at 15 L/min
C. Begin positive pressure ventilation with a BVM
D. Place the patient supine and administer aspirin