On scene, you are by the side of a 3-week-old male who was born prematurely and has an apnea monitor on. His mother states that she was awakened by the alarm and when she went to check on the baby, he was awake and crying. Assessment reveals him to be resting quietly in his mother's arms. The airway is patent and respirations adequate. Vital signs are pulse, 136 beats/min; respirations, 28 breaths/min; and SpO2, 99% on room air. Since the local emergency department was busy when you were there dropping off a patient about an hour ago, it would be appropriate to:
A) Watch the baby for 15 additional minutes and get a refusal of care if he remains stable
B) Provide high-concentration oxygen and immediate transport to the hospital
C) Recognize a monitor malfunction and help make arrangements for a new one
D) Continue assessment of the baby, treat any problems found, and initiate transport
D) Continue assessment of the baby, treat any problems found, and initiate transport
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Signs and symptoms of decreased tissue perfusion secondary to cardiogenic shock include all of the following EXCEPT:
A) altered mental status. B) cold, diaphoretic skin. C) constricted pupils. D) tachypnea.
You are called to a football game for a 15-year-old boy who is lying on the field, conscious and alert. It is August and the patient is complaining of weakness and cramping to his abdomen. He is breathing well and his skin color is normal and it is warm and moist to touch. Vital signs are normal. Treatment should include:
A) rapid cooling with ice packs to major pulse sites. B) rapid fluid infusion of NaCl 0.9 percent to replace lost sodium. C) gentle cooling by removing excess clothing and equipment. D) high flow oxygen and aggressive fluid replacement.