SCENARIOS
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| 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
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| 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
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| 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
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| 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
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| 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
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| 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
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| 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
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| 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
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| 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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