You have orally intubated a patient. While your partner ventilates the patient with a bag-valve device, you assess for proper placement. Auscultation reveals sounds heard over the right chest and an absence of breath sounds over the left chest. Your best course of action would be to
(A) hyperventilate the patient and prepare the equipment necessary for a surgical cricothyrotomy.
(B) deflate the endotracheal tube cuff, withdraw the tube 2 cm and reevaluate breath sounds, and reinflate the cuff.
(C) deflate the endotracheal tube cuff, remove the endotracheal tube, and hyperventilate the patient with a bag-valve device.
(D) insert a large diameter needle into the fourth or fifth intercostal space, midaxillary line.
Answer: (B) deflate the endotracheal tube cuff, withdraw the tube 2 cm and reevaluate breath sounds, and reinflate the cuff.
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This 3-year-old male was carried into the ED by mother who states, “a fish tank fell over on him” cutting his forehead and cheek. No LOC, PERRTL: patient alert and oriented. Patient has a 3 1/2 cm superficial laceration over the right eye across forehead and 1-1/2 cm superficial laceration on right cheek. Local anesthesia administered, wound irrigated and sutured with 6-0 nylon.
a. 12011, 12013 b. 12052 c. 12013 d. 12051, 12052
Incidental supplies are
A. occasionally reordered. B. supplies that are needed in the office but do not threaten the efficiency of the office. C. used only once and thrown away. D. items that are absolutely necessary to ensure the smooth running of the practice.
Which of the following is an incorrect step in obtaining a blood sample for PKU testing?
a. Make a puncture approximately 2–3 mm deep in the lateral heel. b. Soak blood completely through the paper. c. Use as many blood drops as necessary to fill each circle. d. Allow PKU test card to completely dry.
What is BLEVE?
a. vessel rupture and explosion due to relief valve failure b. flammable liquid vessel rupture and explosion due to external heating c. ignition of vapor discharge from a relief valve d. explosion due to vapor ignition form a liquid spill