Your patient is a 68-year-old female who is being treated for colon cancer. She is conscious and alert, in mild distress, and complaining of progressive weakness over the past three days. Palpation of her abdomen reveals tenderness to the lower right quadrant. Her skin is pale, cool, and dry, and you note the smell and appearance of melena in her stool. HR = 108, BP = 100/60, RR = 12, SaO2 = 97%
Proper treatment of this patient might include:
A) IV of normal saline with a 250 mL fluid challenge, repeated if necessary.
B) IV of 5 percent dextrose solution at 30 mL per hour.
C) two large-bore IVs of lactated Ringer's solution, wide open.
D) two large-bore IVs of normal saline, 20 mL/kg fluid bolus.
D
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In order to obtain the MOST current information related to a medication, it is suggested that the prehospital provider:
a. Use only local protocol as your source b. Use multiple sources and compare information in conjunction with medical direction c. Rely on an EMS guide as the sole source of information d. Utilize the internet as a resource because it is most correct
During the rapid trauma assessment of a patient with multiple injuries, you expose the chest and find an open wound with blood bubbling from it. What should you do next?
A. Apply 100% supplemental oxygen. B. Provide rapid transport to the hospital C. Prevent air from entering the wound. D. Place a porous dressing over the wound.