Patient Assessment

Patient assessment

• If a 36-year-old patient is unresponsive and gags when attempting to insert an OPA, insert a nasal airway instead.
• Following inhalation through the vocal cords, air reaches the trachea.
• If a patient who is an apneic asthmatic with BVM demonstrates inadequate chest rise, decrease the ventilation rate to 10/min.
• If a 72-year-old unresponsive female ejection patient from a motor vehicle collision has an open jaw fracture and a dilated right pupil, use a nasopharyngeal airway to open the airway.
• For a 4-year-old tracheostomy patient with a dislodged tube where the opening is obstructed by skin, use a soft tip catheter and suction to clear the obstruction.
• With a bag-valve mask and oropharyngeal airway in use on an apneic patient, sudden difficulty in ventilation suggests an airway obstruction.
• If a sixty-year-old patient with a stoma is apneic with pink frothy sputum after 10 seconds of suctioning, stop suctioning and give a breath.
• When a smoke inhalation victim dislikes the oxygen mask's smell, explain the mask's importance and continue its use.
• The tongue most likely obstructs the airway of an unresponsive 82-year-old supine patient.
• When inserting an oropharyngeal airway into a 4-year-old, use a tongue depressor.
• Administer oxygen via nonrebreather mask for an initially alert adult patient with shortness of breath, accessory muscle use, BP 140/80, pulse 110, respirations 22 with crackles, and SpO2 95%.
• When suctioning a patient, suction on the way out in no more than 15 seconds.
• The appropriate way to measure for an OPA is from the corner of the patient’s mouth to the earlobe.
• Ventilate an apneic adult patient with a bag valve mask once every 5-6 seconds.
• Perform a jaw thrust with c-spine stabilization on a motor vehicle collision patient who is unresponsive with snoring respirations.
• Suspect obstructive pulmonary disease in a 67-year-old female with a productive cough over the last few days who is short of breath, sitting in a tripod position, has wheezing, and breathing with pursed lips with an SpO2 of 93% on home oxygen.
• Administer oxygen at 1-6 LPM via nasal cannula for the correct flow range, and delivery percentage is 44%.
• Allowing for appropriate exhalation when assisting ventilations reduces or alleviates gastric distention.
• If properly inserted, the OPA will keep the tongue out of the airway.
• Confirm that suction cannot clear the airway. Begin ventilation, after inserting the suction catheter as far as possible.
• For an elderly male patient having trouble breathing with respirations at 24 and labored, who is cyanotic, conscious but unable to speak in full sentences, and goes into respiratory arrest en route to the hospital, assist ventilations with bag-valve mask and 100% O2.
• Head tilt and jaw thrust are two manual methods of opening a patient's airway.
• Tidal volume defines the amount of air moved with one normal breath.
• Pulse oximetry measures the amount of hemoglobin that is saturated, usually with oxygen.

CPR and Airway Management

• When opening the airway of an unconscious patient found lying in bed. Placing one hand on the forehead with the other hand on the angle of the jaw.
• If a pale and anxious patient speaks in full sentences, administer O2 using a nonrebreather mask at 15 LPM.
• After that is cyanotic, not breathing, and difficult. Assure the patient has open airway.
• Assess the patient's airway status if they motion you for assistance in using their inhaler in a tripod position.
• Attempt to reposition the head is a way to manage a patient with difficult airway.
• An OPA is most appropriate for an unresponsive five-year-old with a suspected airway obstruction.
• If a 24-year-old male with a history of asthma stops breathing, a ventilation rate of 10 breaths per minute is most appropriate.
• Administer O2 via mask to a 75-year-old patient complaining of shortness of breath, vital signs of 160/88, P 130, R 22 with crackles in the bases of the lungs.
• If a 62-year-old female is clutching her chest inside a local restaurant unable to breath is to perform a series of abdominal thrusts.
• Manually reposition the airway when ventilating with a mouth to mask, and you notice the presence of increasing gastric distention.

Cardiac Arrest

• Arrhythmia may result from a malfunction of the heart's electrical system.
• Systolic BP below 90 is always a contraindication for nitroglycerin.
• Determine the type of cardiac problem the patient has if they are with chest pain, have not taken their prescribed Nitro according to protocol
• The next step is to transport the pt when vital signs have been addressed accordingly.
• The next step if Pt becomes unresponsive during transportation is to confirm for absence of pulse.
• Ventricular fibrillation is a cardiac arrhythmia characterized by a complete disorganization of electrical activity
• Hypotension is one of the most problematic side effects of nitro.
• Left ventricle is the strongest portion of the heart that is responsible for circulating blood to the entire body.
• If a 68-year-old female is complaining of discomfort in her upper back, is nauseous and appears to be sweaty, indicating cardiac compromise is most life-threatening possible causes.
• Hemorrhagic stroke is a thing to consider if a 62-year-old female who has been drinking alcoholic beverages is feeling dizzy. She cannot walk and she complains of severe headache.
• Contraction of the left ventricle is what you are feeling when you are assessing a pulse
• A common symptom of cardiac compromise is chest pain, or discomfort known as angina.

Trauma and Shock

• You should attempt for chest movement caused by spinal and trauma incidents.
• For your 65 y/o male CC CP, SBP<100 contraindication the administration of sublingual nitro
• Alone when you witness 57 y/o women fall and become unresponsive, start chest compression.
• Atherosclerosis is the buildup of fatty deposits on the inner walls of an artery?
• The patient is most likely experiencing cardiac arrest. For your pt 56 y/o mowing and lawn, and collapse. Then found are apoplectic and pulseless immediately.
• You should suspect a cardiac event for a 67 y/o female reported a syncopal episode while in the toilet. Vitals BP 100/60, P 110 irregular, R 12. She is weak and dizzy.
• Anterior chest and back (between shoulder blade is correct placement for the electrodes.
• For pt that becomes unresponsive, apneic and pulseless, start CPR and apply the AED
• Assess vitals and begin transport after the patient begins to move and speak after delivering a shock with an AED.
• Sheptes the pt should be transported during CPR.
• D. resume CPR and transport You have administered sex shocks to your cardiac arrest patient. She remains pulseless and is not breathing. You should next
• Administer oxygen by NPB 15 LPM- pt 45 y/o female pt complaining of left sided chest discomfort, her vital signs of are BP108/68, Pulse 104 and fingers blue.
• Continue ventilation - You pt’s pulse return must be given following A.E.D.

General Medical

• Note the time and apply o2 once the AED has stopped
• AED has advised it has shown as no shock. leave the AED pads in place and begin CPR
• Begin CPR immediately on pt. was pale with diaphoresis and chest pressure.
• C. Cardiogenic shock
• C. document the pt's response to the medication
• Ask family to convince him to be transported
• Comfirmless you assess for pulselessness and apnea and then shock if possible
• B. congestive heart failure
• You should suspect Anaphylaxis Pt said his thought got tongue
• When give auto injection at least over 10 seconds
• Immediate transport to the hospital
• B. Hypoglycemia lethargic pt finish mowing his lawn and it sweating profusely
• C. Meningitis has fever and stiff neck.

•   A. Apply O2 and transport to the hospital
  

• Speak and calm them that is alert and refuses service, but also has abuse issue
• Move pt somewhere cool and then vitals
• Restrain and transport of police escort intoxicated
• Hypoglycemia is most appropriate for diabetes
• C. Hepatitis (measles) the transmitted
• Early stage of tb a persitent long cough then fever

Pediatric Medical

• Skin appears white and is hard when the patient will exhibit localized skin.
• B. congestive heart failure
• D. Request is the correct treatment plan if Drowning in open water in pool
• Do they.
• B. Do not have manic
• Hypovolemic shock - pt MOST to risk has hemophilia with nose leak.
• Suspect A. abdominal anuerisum
• Convince should be transported and can return to to her doctor.
• Alergies is most important thing to relay is acting erratically
• A. Spinal fracrure a 40 year old hit by just lightnign
• A. Remove all clothing right away for all PT with chemical Contact perimete.
• Eclampsia is with female, pregnant with not medical history