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SCENARIOS

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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SCENE
Question
Answer
show The absence of carbon dioxide in exhaled air indicates the endotracheal tube has been   placed in the esophagus  
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show 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.   show 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:   show
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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?   show
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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?   show
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show 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:   show
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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:   show
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