Your patient is a 20-year-old male who is conscious, alert, and in severe distress. He describes a three day history of diffuse abdominal pain near his umbilicus that became sharp and migrated to his lower right quadrant this morning. He states that the pain became acutely worse half an hour ago and that he is now light headed and nauseated and has vomited numerous times. You believe he may be suffering from appendicitis. Based on his clinical presentation, the most proper treatment, in addition to giving oxygen, would be
A. IV of normal saline wide open, Trendelenburg position, rapid transport
B. Provide comfort, expedited transport
C. IV of normal saline wide open, left lateral recumbent position, Phenergan IV, transport
D. Provide comfort, manage the airway, establish IV access, expedited transport
Answer : D. Provide comfort, manage the airway, establish IV access, expedited transport
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