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General Medicine General 3e97d57a

A child who is a known case of bronchial asthma comes with respiratory rate 48/min, cannot speak 2 words, occasional wheeze and oxygen saturation of 95%. You give 3 doses of salbutamol nebulisation then he staed to speak a sentence but saturation falls to 85%. What is the cause?

A
Bronchomalacia
B
Right to left shunt
C
VP mismatch with dead space ventilation
D
Faulty pulse oxy-meter

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