Your patient is a 48-year-old female who is unconscious with snoring respirations after ingesting an unknown substance. You note cold, peripherally cyanotic skin and a weak, rapid pulse. Her pupils are equal and reactive but constricted. She has no unusual odors, and her blood glucose level is 80 mg/dl. HR = 74, BP = 100/68, RR = 4, SaO2 = 91%. Which of the following is appropriate?
A) Intubate, ventilate using supplemental oxygen, IV, 1 mEq/kg sodium bicarbonate
B) Intubate, ventilate using supplemental oxygen, IV, 2 mg naloxone, 100 mg thiamine, 25 gm dextrose
C) Assist ventilations using supplemental oxygen, IV, 2 mg naloxone
D) Assist ventilations using supplemental oxygen, IV, 2 mg naloxone, 100 mg thiamine, 25 gm dextrose
C
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An elderly patient with an unknown medical history has been found unresponsive in bed. You are unable to wake him, and he is snoring loudly. You should suspect that:
A) he has choked on a foreign body. B) his breathing is adequate, as indicated by snoring. C) his tongue may be obstructing his airway. D) he has vomited.
Which of the following is true regarding end-of-life care, treatment, and services?
A. Staff members and licensed independent practitioners may proceed with care, treatment, and services unless they become aware that the patient has an advance directive. B. The hospital is required to honor all advance directives. C. The existence or lack of an advance directive does not determine the patient's right to access care, treatment, and services.