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Author Archives: Anonymous

Your 41-year-old ventilator dependent patient needs transpor…

Your 41-year-old ventilator dependent patient needs transport to the emergency room for evaluation of a fever. He has a GCS of 7, which is his baseline. Vital signs are BP 132/90, P 112, R 20, SpO2 93% on 40% FIO2, and Temp 102.1 F. Your ambulance is not equipped with a ventilator and you have just removed him from his home ventilator and supply bag-valve ventilations with oxygen at 15 lpm. Vital signs are now BP 144/94, P 124, R 24, and SpO2 94%. Lung fields are clear and equal bilaterally. He is also agitated and breathing against the manual ventilations. You should administer

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Every day is abbreviated

Every day is abbreviated

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Your 51-year-old patient complains of increased exertional d…

Your 51-year-old patient complains of increased exertional dyspnea for five days. He also complains of a productive cough. Vital signs are BP 138/84, P 94, R 22, and temp of 101.6. He has a history of chronic bronchitis and CHF. You witness the patient having an episode of repeated productive coughing. How would you expect his sputum to look?

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Which of the following patients needs immediate airway and/o…

Which of the following patients needs immediate airway and/or breathing assistance?

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You have just orally intubated a patient and are in the proc…

You have just orally intubated a patient and are in the process of confirming endotracheal tube placement. Auscultation reveals gurgling over the epigastrum and an absence of breath sounds on the right and left chest. You should

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Croup primarily affects children

Croup primarily affects children

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Aspiration of vomitus into the lungs may cause

Aspiration of vomitus into the lungs may cause

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Cheyne-Stokes respiratory pattern is characterized by increa…

Cheyne-Stokes respiratory pattern is characterized by increasing rate and depth followed by decreasing rate and depth into periods of apnea. This is indicative of

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With a ventilator dependent patient, a list of causes of hig…

With a ventilator dependent patient, a list of causes of high-pressure alarms includes

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Your 53-year-old male patient was involved in a motor vehicl…

Your 53-year-old male patient was involved in a motor vehicle collision (MVC). He opens his eyes spontaneously. He is disoriented and confused to person, time, and event. When you start an IV in his left arm, he uses his right arm to push your hand away. He has a GCS level of

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