Based on the findings, what is the most probable condition and what is the appropriate treatment? (Choose 1 for each category) Treatment Condition

What other treatments are needed for this patient?  Not indicated (Choose 3) Indicated (Choose 3)

EN ROUTE It is 0330 and you are staffing a 2-paramedic transporting ambulance. Your unit is dispatched for a 71-year-old female with shortness of breath. It is a rainy spring night and the temperature is 65oF (18oC). The location is roughly 10 minutes from the station. Hospital 1 is a cardiac catheterization center, and Hospital 2 is a level 2 trauma center both about 20 minutes away. Dispatch notes the patient woke from sleep with severe shortness of breath. They note that the patient’s husband is with the patient. ON SCENE The husband leads you into the bedroom where you find the patient (60kg) sitting on the edge of the bed leaning forward with moderate to severe respiratory distress.  She makes eye contact when crew arrives but appears tired. The husband states she woke suddenly with severe shortness of breath. The patient has a history of coronary artery disease, diabetes, COPD, and had a myocardial infarction 2 months ago. The patient has no allergies to medications. The patient’s skin is pale and diaphoretic. There are no signs of trauma, and the patient obeys motor commands but can only speak 2-3 words at a time. Eyes are open, pupils are 5mm and reactive to light. The vital signs are BP 172/110, P 88, R 26, SpO2 90% on room air, and T 98oF (37oC), The blood glucose is 100. POST SCENE The patient is packaged onto the stretcher in a high fowlers position and transport is initiated to a hospital with cardiac capabilities.  Despite early CPAP therapy, the patient remains dyspneic and anxious. 

POST SCENE While en route to the appropriate facility, the patient starts to show signs of imminent delivery and has the urge to push. Contractions are now 2-3 min apart and last about 60 sec.  The vital signs are BP 100/62, P 128, R 24, SpO2 98% on 15 LPM with a NRB.  SCENE The patient (72kg) is walking around her living room and appears anxious. The patient states this is her third pregnancy and she is 36 weeks gestation. The patient reports her back and lower abdomen has been hurting the last few hours and there was a gush of fluid when she was doing laundry just prior to calling 911.  The patient has no prior medical history other then 1 prior vaginal birth and 1 miscarriage. Medications include ferrous sulfate and a prenatal vitamin. The patient has no allergies to medications.  The patient is apprehensive. The contractions are regular at 5-6 min apart, lasting about 30 seconds. On inspection there is no crowning but bulging of the perinium is noted. The patient obeys commands, eyes are open with equal and reactive pupils. Breath sounds are clear bilaterally. The vital signs are BP 128/88, P 118, R 20, SpO2 98% on room air, and T 98oF (37oC). The blood glucose level is 108 mg/dL. EN ROUTE The paramedic is dispatched to a residence for a 32 year old patient with abdominal and back pain. Dispatch reports that the patient is 36 weeks pregnant with twins. The time of call is 22:30 and the response time is 7 minutes. The paramedic is partnered with an EMT and the fire department is dispatched with the ambulance. It is a clear fall night and the temperature is 64oF (17oC). A local community hospital is 10 minutes away, and a comprehensive medical facility with obstetrics is 15 minutes away.

TRUE or FALSE: Induction Of Emesis Is Only Likely To Be Effective Immediately After Ingestion AND Before GI Absorption And Clinical Signs Occur In Animals Exposed To The VTTTT Shown Below.

TRUE or FALSE: Induction Of Emesis In Cases Of This VTTTT Intoxication Is Controversial; Might Be Challenging To Accomplish; And Might NOT Necessarily Shorten The Duration Of Clinical Signs.

For the VTTTT shown above, which consists of two distinct types of plants, which of the following THREE (3) statements are TRUE/CORRECT 6Ps Regarding This VTTTT Intoxication?

TRUE or FALSE: Administration of Activated Charcol Is An Extremely Important Aspect Of The Decontamination Therapy For This Intoxication, And Is Much More Effective Than Urinary Carheterization Or Frequent Bathroom Breaks In Preventing Enterohepatic Recirculation In This VTTTT Intoxication.

A nurse is assessing a client who is 4 hours postoperative following an open reduction and internal fixation (ORIF) of the right femur. The client has a Jackson-Pratt (JP) drain in place. The nurse notes that the drainage bulb is fully expanded and contains a small amount of serosanguineous fluid. Which physiological complication is the client most at risk for if the nurse fails to empty and compress the bulb?

A nurse is performing a comprehensive physical assessment on a client and evaluates the six cardinal fields of gaze. The nurse should recognize that this specific assessment technique is used to evaluate the function of which of the following structures?