16 year girl was hospitalized in july with tachypnoe, shortage of breathing, peripheral cyanosis, anxiety.Anamnesis:allergy to peanuts in early years, but no symptoms after 10 years of age, it is the first episode of this state.

Emergency.Case 1 

16 year girl was hospitalized in july  with tachypnoe, shortage of breathing, peripheral cyanosis,  anxiety.Anamnesis:allergy to peanuts in early years, but no symptoms after 10 years of age, it is the  first episode of this state.During the examination: sitting in orthopnoe position, dry wheezing all  over the lungs, sometimes coughing, rough skin on elbows and throughout the body,  SpO2-90%,  pH-7,3,pO2-60, pCO2-55,Glasgow scale-14, blood analysis-slightly eosinophilic, leucocytosis-10 ,no  other changes, liver enzymes normal, x-ray:

Questions: 

1.your further tactic and action 

2.what analysis or instrumental examinations will you add to the list and when? 3.what additional questions will you ask parents to provide adequate treatment 3.refill the absent diagnosis in gaps for this girl during her life and why 

(_______)-allergy to peanuts- allergy rhinitis-(______) 

4.How does that chain call and how could it vary?

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