You are about to transport a cancer patient who complains of dyspnea. She is hemodynamically stable and has a history of asthma. On assessment, you note she has some diffuse wheezes. You are going to administer an albuterol treatment and your protocol states that you should start an IV when you give a breathing treatment. The patient says she has very bad veins, but she has an implanted port under the skin of her left chest. What is the best course of action?
A) There is no urgent need for an IV, and attempting to access the implanted port without the correct equipment and training could harm the patient and the device. So, administer the albuterol but withhold the IV.
B) Withhold the albuterol treatment, because it cannot be given without an IV.
C) Contact medical control for orders to access the port before beginning the albuterol treatment.
D) Some implanted ports require special catheters, so try for a peripheral line.
A
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