Which of the following is an indication of infection?

Which of the following device-related factors have a major effect on pressurized metered dose inhaler (MDI) delivery of aerosolized drugs during mechanical ventilation?

1. MDI propellant formula 2. Type of spacer or adapter used 3. Position of spacer in circuit 4. Timing of MDI actuation a. 1 and 3 only b. 1, 2, and 3 only c. 3 and 4 only d. 2, 3, and 4 only

You have arrived at a residence to help another crew with a 62-year-old woman who is complaining of fatigue, chest discomfort, and diaphoresis. The EMTs on scene report that she has a history of hypertension from atherosclerosis, for which she takes a blood pressure pill, and is also prescribed nitroglycerin. She reports an allergy to aspirin. Vital signs are pulse, 64; respirations, 16 breaths/min; blood pressure, 128/86 mmHg; and SpO2, 97% on room air. Which of these statements made by your EMT partner would require immediate correction on your part?

A) "I am not going to attach the AED, because the patient is conscious and has a pulse." B) "I am going to put the patient on high-concentration oxygen because she has chest discomfort." C) "I will contact medical direction for permission to administer the patient's nitroglycerin." D) "I am not going to give the patient any aspirin, because she says that she is allergic to it."