What is the focus of initial management for a child in respiratory failure?

The initial management of a child in respiratory failure primarily focuses on ensuring adequate oxygenation. Administering high concentration oxygen is a critical intervention aimed at quickly addressing any hypoxia that the child may be experiencing. In respiratory failure, the ability to maintain adequate blood oxygen levels is compromised, so delivering supplemental oxygen can help stabilize the patient's condition and improve oxygen saturation.

Monitoring vital signs is also essential during this phase. It allows healthcare providers to assess the child's respiratory status, heart rate, and overall hemodynamic stability, which can provide insight into the effectiveness of the oxygen therapy and any need for further interventions.

While other options like chest physiotherapy, oral medications, and performing a full blood count may play roles in the comprehensive management of respiratory issues, they are not priorities in the urgent initial response to respiratory failure. These interventions would typically follow after immediate measures have been taken to restore adequate oxygen levels.