You are treating a 5 year-old male for difficulty breathing….
You are treating a 5 year-old male for difficulty breathing. The family reports the patient came in from outside in the back yard and said he was bitten by something and started feeling itchy with a sore throat. The family states they called 911 when in just five minutes the patient started looking like he could’nt breath and changing colors, appearing blue to them. The patient presents with wide awake eyes staring at you, sitting in the tripod position in a kitchen chair with audible stridor. The patient has hives and urticaria to his neck, chest, and abdomen with bilateral inspiratory/expiratory wheezing for lung sounds. His vital signs are BP: 60/20, HR: 148 regular and weak brachial, RR: 44 and shallow, ETCO2: 55 mmHg, SPO2: 82%, Skin: Flushed, warm, sweaty, with circum-oral cyanosis. Patient weighs 20 kg. Select all treatments that are appropruate at this time:
Read DetailsYour patient is a 16-year-old female cheerleader who fell wh…
Your patient is a 16-year-old female cheerleader who fell while attempting a pyramid formation and struck her forehead on the back of another girl’s head. She has a 2-cm laceration just above her right eyebrow. She is tearful and asks you if you think she is going to have a scar. Which of these is the best response?
Read DetailsYou are in mid-transport of a 8 month old male that is posti…
You are in mid-transport of a 8 month old male that is postictal. The patient has a history of seizures from birth secondary to a cerebral development deficit. Parents advise that when the patient has seizures he typically experiences status seizures with multiple episodes in a row. The patients vital signs are BP: 130/80, HR:176 and regular, RR 24 bpm and shallow, SPO2 94% on 2 liters nasal cannula, BGL 78 mg/dL. ECG below. The patient begins to present in tonic/clonic type seizure activity. Patient weighs 8 kg. Peds SInus Tach 1.png Select all the appropriate treatments given this change in condition
Read DetailsYou have responded on a 10 year-old male with abdominal pain…
You have responded on a 10 year-old male with abdominal pain. Mother states that patient has been complaining of generalized abdominal discomfort for the past 2 – 3 days, but the pain is more intense now and is centered around the right lower quadrant, and now patient presents with a low grade fever. The patient is alert and oriented completely and is in obvious pain holding his abdomen with tears coming from his eyes. He present with pink, febrile, and sweaty skin with a BP of 92/50, HR of 120 bpm and regular, RR of 26 bpm with good tidal volume, SPO2 97%. Patient weighs 70 lbs. Select all appropriate treatments for this patient given his condition
Read DetailsYou have arrived on scene of a child with altered mental sta…
You have arrived on scene of a child with altered mental status. Parents report that the patient has had a fever, cough, and runny nose with yellow/brown mucus production for the past 5 days. Today the parents state the patient is less responsive and hasn’t eaten all day. It is 15:00. The patient is a 2 year-old male that weighs 10 kg. He presents alert to loud voice with minimal eye opening but doesn’t track. He has pink, febrile, and clammy skin. His BP is 62/30, HR is 170 weak pulse at brachial, RR of 40 bpm with good chest rise/fall, SPO2 88%, BGL of 92 mg/dL. ECG below. ATach.jpg Select all treatments that are indicated for this patient given his condition/presentation.
Read DetailsYour patient is a seven-month-old boy whose mother called be…
Your patient is a seven-month-old boy whose mother called because he suddenly became lethargic and pale. Your assessment reveals that he is in a supraventricular tachycardia at a rate of 244 per minute. The patient’s extremities are mottled and his capillary refill time is 4 seconds. Which of these is the best treatment plan for this patient?
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