A 1-year-old male is in respiratory distress and wheezing. His pulse is 156 beats/min, respirations are 32 breaths/min, and SpO2 is 95% on 4 lpm of blow-by oxygen provided by on-scene EMRs. His mother denies a medical history for the patient, but states that she has asthma and uses an albuterol inhaler. Given this information, what would be appropriate in the care of this child?
A) Transport the patient in low Fowler's position
B) Contact medical direction for authorization to administer albuterol MDI
C) Add humidification to the oxygen
D) Increase the oxygen to a high concentration through a mask
C) Add humidification to the oxygen
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You are treating a patient who has a blood sugar level of 28 mg/dL. You have not been successful in getting IV access. You know this is a problem because:
A) a fluid bolus is needed to flush out excess ketones in the body. B) cardiac arrest from an electrolyte imbalance is very likely. C) a significant drop in blood glucose level can quickly lead to brain cell damage. D) administration of glucose is the only way to raise the blood glucose level.
Which is a reason a shunt is used routinely during a carotid endarterectomy?
a. To prevent blood loss b. To avoid making an arteriotomy in the carotid artery c. To maintain blood flow to the brain d. To enhance visibility of the carotid plaque