As you are evaluating a pregnant patient who is supine on a couch, your partner informs you that the blood pressure is 78/50, pulse of 100, and respirations of 16. You should:
A) place her on her left side and retake vitals.
B) give rapid IV fluid boluses and transport immediately.
C) start chest compressions to keep BP above 80.
D) give dextrose 5 percent by IV titrated to 100 mmHg systolic.
A
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A patient experienced a brief loss of consciousness following a blow to the head. During your questioning, she describes a series of events that do not match what observers had noted before the trauma. This might be an example of:
A) delusion. B) incoherence. C) mania. D) confabulation.
Your patient is a three-year-old male who has had a mild cold for 24 hours. This evening, the parents have called EMS because the child awoke with a hoarse, "barking" cough and seems to be having some difficulty breathing. You note that the child is afebrile and his breath sounds are clear but that he has significant inspiratory stridor. His respiratory rate is 30, his pulse is 124, and he is
anxious but lacks peripheral cyanosis. Which of the following responses indicates the most likely cause and the appropriate treatment of the child's problem? A) Epiglottitis, breathing cool night air B) Laryngotracheobronchitis, humidified oxygen C) Bronchiolitis, racemic epinephrine D) Asthma, albuterol