You are delayed getting to a residence where a 16-month-old boy is actively seizing. The mother reports that he has had a fever for the past two days. A firefighter on scene informs you that the child has been seizing since their arrival approximately 15 minutes ago. You should:
A) apply oxygen, administer intranasal midazolam, and transport.
B) apply oxygen, administer fluids, and transport.
C) actively cool the child with ice packs to the groin and axilla.
D) actively warm the child with blankets.
A
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You are by the side of a patient who fell 5 feet from a ladder, landing on a concrete porch and hitting his lower back and buttocks. Assessment reveals an intact airway, adequate respirations, rapid radial pulse, and skin that is pale, cool, and diaphoretic. The patient complains of lower back and left leg pain. No deformity to the extremity is noted; however, the lower back is tender on palpation. The following vital signs are obtained: pulse, 132; respirations, 20 breaths/min; blood pressure, 102/88 mmHg; and SpO2, 97% on room air. Regarding oxygen therapy, you would:
A) Provide 2 lpm O2 through a nasal cannula B) Start positive pressure ventilation to support breathing C) Administer oxygen at 15 lpm through a nonrebreather mask D) Recognize a normal SpO2 and forego oxygen therapy
Which of the following characteristics differentiates Hodgkin and non-Hodgkin lymphomas?
a. Molecular diagnostics and flow cytometry test results b. Cytochemical and cytogenetic findings c. Stage, distribution, mode of spread, extranodal disease, peripheral blood, cell type, and treatment regimen d. Nodular growth pattern, BCL expression, and CD19+
What are the two wavelengths of light used to determine hemoglobin saturation with a pulse oximeter?
a. 550 nm and 730 nm c. 730 nm and 940 nm b. 660 nm and 940 nm d. 550 nm and 840 nm
Based on recent clinical trials, what is the initial tidal volume that is recommended for ARDS patients?
A. <4 ml/kg B. 4 to 6 ml/kg C. 8 to 10 ml/kg D. >10 ml/kg