A 69-year-old man presents with confusion, a headache, dyspnea, and palpitations after he rescued his two grandchildren from their burning house. During your assessment, you note that he has an odd odor on his breath; however, he denies being diabetic. You should:
A) start an IV line of normal saline and administer 10 mL of a 10% solution of calcium chloride.
B) administer 1 to 2 g of pralidoxime infused with normal saline solution over a 5- to 10-minute period.
C) start an IV line, sedate and chemically paralyze the patient, and then perform endotracheal intubation.
D) have him inhale amyl nitrate for 20 seconds and then 100% oxygen for 40 seconds out of each minute.
Answer: D) have him inhale amyl nitrate for 20 seconds and then 100% oxygen for 40 seconds out of each minute.
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