You are caring for a male patient in VTach. He is lethargic, diaphoretic, pale and has vomited once. His vital signs are: BP 74/P, pulse 184, respirations 14. You are assigned to manage the airway.

Initial management should include:

You are caring for a male patient in VTach. He is lethargic, diaphoretic, pale and has vomited once. His vital signs are: BP 74/P, pulse 184, respirations 14. You are assigned to manage the airway.

Your patient becomes unresponsive and apneic. Further airway management should include:

You are caring for a 77yo M pt. who is short of breath. He has HX of COPD and is on home O2 at 3LPM by NC. He is A+Ox3, but is able to speak in only two-to three-word sentences. BP is 148/92, pulse 124, Resp. 28.

What does the PT's ability to speak in two- to three-word sentences indicate?

You are caring for a 77yo M pt. who is short of breath. He has HX of COPD and is on home O2 at 3LPM by NC. He is A+Ox3, but is able to speak in only two-to three-word sentences. BP is 148/92, pulse 124, Resp. 28.

You observe this PT utilizing pursed-lip breathing technique. Why is this significant?

You are caring for a 77yo M pt. who is short of breath. He has HX of COPD and is on home O2 at 3LPM by NC. He is A+Ox3, but is able to speak in only two-to three-word sentences. BP is 148/92, pulse 124, Resp. 28.

The development of which sign/symptom in this PT would lead you to believe he is significantly decompensating?

You respond to a PT with SOB. PT states it woke him up. Vitals: BP 188/94, pulse 116, resp. 36, pulse ox88%. Lung sound assessment reveals crackles in the posterior bases.

you suspect this PT to be suffering from:

You respond to a PT with SOB. PT states it woke him up. Vitals: BP 188/94, pulse 116, resp. 36, pulse ox88%. Lung sound assessment reveals crackles in the posterior bases.

As you continue assessment on this PT, he becomes lethargiv. BP is now 198/102, pulse 36, resp. 48, with increased pulmonary congestion. Treatment should include:

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You are using an end-tidal CO2 detector as a tool to assist for proper endotracheal intubation placement

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You are Using an End-tital CO2 detector as a tool to assist for proper endotracheal intubation placement

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SCENARIOS

SCENE	Question	Answer
You are using an end-tidal CO2 detector as a tool to assist for proper endotracheal intubation placement	The absence of carbon dioxide in exhaled air indicates the endotracheal tube has been	placed in the esophagus
You are Using an End-tital CO2 detector as a tool to assist for proper endotracheal intubation placement	The ET tube has been placed in the esophagus; your next action is to	remove the endotracheal tube and provide several ventilations prior to attempting intubation again
You are caring for a male patient in VTach. He is lethargic, diaphoretic, pale and has vomited once. His vital signs are: BP 74/P, pulse 184, respirations 14. You are assigned to manage the airway.	Initial management should include:	Suctioning the airway
You are caring for a male patient in VTach. He is lethargic, diaphoretic, pale and has vomited once. His vital signs are: BP 74/P, pulse 184, respirations 14. You are assigned to manage the airway.	Your patient becomes unresponsive and apneic. Further airway management should include:	Endotracheal Intubation
You are caring for a 77yo M pt. who is short of breath. He has HX of COPD and is on home O2 at 3LPM by NC. He is A+Ox3, but is able to speak in only two-to three-word sentences. BP is 148/92, pulse 124, Resp. 28.	What does the PT's ability to speak in two- to three-word sentences indicate?	There is inadequate tidal volume
You are caring for a 77yo M pt. who is short of breath. He has HX of COPD and is on home O2 at 3LPM by NC. He is A+Ox3, but is able to speak in only two-to three-word sentences. BP is 148/92, pulse 124, Resp. 28.	You observe this PT utilizing pursed-lip breathing technique. Why is this significant?	It helps maintain pressure within the airways
You are caring for a 77yo M pt. who is short of breath. He has HX of COPD and is on home O2 at 3LPM by NC. He is A+Ox3, but is able to speak in only two-to three-word sentences. BP is 148/92, pulse 124, Resp. 28.	The development of which sign/symptom in this PT would lead you to believe he is significantly decompensating?	Cyanosis
You respond to a PT with SOB. PT states it woke him up. Vitals: BP 188/94, pulse 116, resp. 36, pulse ox88%. Lung sound assessment reveals crackles in the posterior bases.	you suspect this PT to be suffering from:	Congestive Heart Failure
You respond to a PT with SOB. PT states it woke him up. Vitals: BP 188/94, pulse 116, resp. 36, pulse ox88%. Lung sound assessment reveals crackles in the posterior bases.	As you continue assessment on this PT, he becomes lethargiv. BP is now 198/102, pulse 36, resp. 48, with increased pulmonary congestion. Treatment should include:	Preparation for intubation

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