A 22-year-old with asthma comes to the emergency department in respiratory distress
The patient has acute shortness of breath (SOB); is febrile, tachypneic, and tachycardic; and has an SpO2 of 88% on a nasal cannula that delivers 2 L/min. Which of the following actions should the respiratory therapist take at this time?
a. Teach the patient to breathe through pursed lips.
b. Place a simple mask on the patient.
c. Remove the cannula and place a 0.35 air-entrainment mask on the patient.
d. Place a high-flow cannula at 15 L/min on the patient.
ANS: C
A patient with asthma benefits from a precise preset FIO2. With a simple mask, there is a greater likelihood of the patient retaining CO2, which is not helpful for those with asthma. Breathing through pursed lips is beneficial to people with asthma; however, it is not the first course of ac-tion. Finally, a high-flow cannula at 15 L/min is too much FIO2 for the patient at this time.
You might also like to view...
Abstract from Documentation: Refer to Repair, Eyelid in the Alphabetic Index. What code range is applicable?
Preoperative Diagnosis: Left upper lid laceration Postoperative Diagnosis: Left upper lid laceration Procedure: Left upper lid laceration repair with exam under anesthesia Anesthesia: General Complications: There were no complications. Indications: This 4-year-old child suffered a dog bite to his left upper lid and was unable to be repaired successfully in the emergency room. After obtaining informed consent, he was taken to the operating room. Description of the Procedure: The patient was prepped and draped in the usual sterile fashion. The wound margins were reapproximated using 6-0 absorbable suture and 2 lid margin sutures were placed using 6-0 silk. The injury was limited to the epidermis and part of the dermis. There was no structural damage to the blood vessels or deeper tissue layers. The lid was noted to be in good position, and then all skin lacerations were closed using a combination of 6-0 running and 6-0 interrupted nylon. The patient then had his eye dilated, and exam under anesthesia was carried out using an indirect ophthalmoscope. There was no evidence of trauma to the globe or the posterior pole. The patient was taken to the recovery room in good condition and will be sent home today to follow up in my office.
Post-traumatic intractable headache __________
Fill in the blank(s) with the appropriate word(s).
Prevalence of diabetes varies greatly among different ethnic groups. What group has the highest prevalence?
A. African Americans B. Native Americans C. Asian Americans D. Whites
Which of the following statements about materials that go inside a temt structure or on the tent such as banners or decorations is MOST accurate?
A. They do not have to meet any specific requirements. B. They cannot cover or occupy over ten percent of tent space. C. They cannot cover or occupy over twenty percent of tent space. D. They must be treated with or made of flame-retardant material.