You are ventilating an intubated patient who suffered multisystem trauma. While the paramedic with whom you are working is starting an IV, you both glance at the capnometer device and see that the numeric display is dropping quickly. If there has been no change in ventilatory rate or depth, what could be another cause for this end-tidal carbon dioxide change?
A) There is a drop in blood flow to the lungs from the heart.
B) Patient's blood pressure is rising.
C) Patient's lungs are receiving too much oxygen.
D) The body's metabolic activity is finally starting to improve.
A
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The right atrium receives blood from the head and neck via which vessel?
A) Ascending aorta B) Inferior vena cava C) Descending aorta D) Superior vena cava
Your patient is a 28-year-old male with a history of panic attacks. He states that symptoms began about 20 minutes ago and that he has been unable to get them under control. He complains of shortness of breath, chest pain, dizziness, and a feeling that he is going to die. His skin is warm and moist. HR = 132, BP = 138/98, RR = 26 and shallow. You spend 15 minutes on-scene with him attempting to
"talk him down" without success. Which of the following is most appropriate? A) Oxygen, IV, nitroglycerin, aspirin, morphine B) IV, diazepam C) Oxygen D) IV, haloperidol
Which of the following best describes the practice of evidence-based medicine?
A) Basing all treatments on the patient's signs and symptoms B) Combining clinical expertise with the best available clinical evidence C) Using clinical judgment to know when you should deviate from protocols D) Using published reports of research to change practice
When performing endotracheal suctioning, which of the following steps should be completed after you manually hyperinflate the patient's lungs with a resuscitation bag?
A. Test the vacuum and suction with sterile water. B. Insert the catheter into an ET tube (sterile hand)and advance until resistance is met then withdraw catheter slightly. C. Remove the ET tube adapter and irrigate with5 mL of sterile saline or mucolytic agent only if indicated(contaminated hand). D. Put sterile water in a container.