Your patient is an 18-year-old male who fell into a neighbor's swimming pool but was pulled out by bystanders. The neighbors report that the patient wandered into their yard and that he said he had a "funny numb feeling" in his head and his chest hurt before stumbling into the pool. As you are performing CPR, you notice that the mucous membranes in his mouth and nose are swollen. Which of the
following would account for the patient's behavior and current condition?
A) GHB B) Volatile chemicals
C) Carbon monoxide poisoning D) Methamphetamine
B
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You have been called for an 11-year-old boy with a history of mild mental retardation who has possibly ingested the leaves of a household plant. His mother states that she found him eating the leaves then immediately called 911. You note that the plant has been overturned and is missing a considerable number of leaves. Assessment reveals the boy to be lethargic and confused and complaining of
abdominal pain, accompanied by nausea and vomiting. His airway is patent and his respirations are adequate. Which assessment finding would be MOST suggestive that the plant leaves have been absorbed into the bloodstream? A) Nausea and vomiting B) Confusion and lethargy C) Abdominal pain D) Nausea
The respiratory therapist is evaluating the following ventilator flow sheet. The recommendation that is most appropriate in this situation is which of the following?
Time PIP (cm H2O) Pplateau (cm H2O) PEEPE (cm H2O) Exhaled VT (mL) Flow rate (L/min) 0800 35 30 5 1000 60 1000 39 34 5 1000 60 1100 45 39 5 1000 60 1130 50 44 5 1000 60 a. Increase extrinsic positive end-expiratory pressure (PEEPE). b. Suction the airway. c. Switch out the heat moisture exchanger (HME). d. Administer a bronchodilator.