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a 87 year old has a productive cough over the past three days
and confusion over the past day. there is rhonci and wheezing
in the right lung. BP116/92, P92, R24 and temperature is 101F.
what should you suspect? – ANSWER-pneumonia
78 yo M alzheimers pt has bruising on his back, neck, and
stomach. when
you ask the pt what happened, his caregiver insists "he fell
getting out of bed"
what should
you do
a. ask on of the family members to ride in the
back with him
b. ask the caregiver why the pt
required restraint
c. immediately notify law enforcement to
take a report
d. move him into the ambulance so you can talk to him alone
- ANSWER-c.
,notify law enforcement to take
a report
according to the Cincinnati prehospital stroke scale, which of
the following
should be assessed - ANSWER-
facial droop
A 32-year-old patient is found unconscious in the snow. You
cannot detect a
pulse or respiration rate within 10 seconds. What should you
do? - ANSWER-
assess her pulse for 30-45
seconds
An 80 y/o male complains of a headache and nausea. He is
confused with hot, dry skin. His house is hot and humid. VS are
BP 90/55, P 96, R 18, SpO2 88% and BGA 88 mg/dL. What
should you do? - ANSWER-Begin active cooling measures
(signs of heat stroke, also think of fluid replacement due to
dehydration)
A 28 y/o female complains of sudden onset of dyspnea while
eating in a restaurant. Her tongue is swelling and she has
urticaria on her neck. VS are BP
86/44, P 116, R 18 with wheezing. What should you administer?
- ANSWER-
Epinephrine .3 to .5 IM 1:1000 (should suspect anaphylactic
shock)
, While spraying pesticide on his crops, a 51 y/o male started to
feel lightheaded and had trouble breathing with excessive
saliva production. What should you administer? - ANSWER-
Atropine (cholinergic response with the signs of SLUDGE, need
to use a anticholinergic drug which is atropine, which blocks
the effects of the accumulating acetylcholine)
An adult male is sitting alone in a dark room, rocking back
and forth. he
mutters to his sock puppet "are you feeling sad?" what
should you do? -
ANSWER-introduce yourself and start an
assessment
A mother of a 17 y/o male called EMS because her son has a
depressed affect. While assessing him, he states "I'm not sure
if I can take this anymore." What should you do? - ANSWER-
Inquire about his suicidal ideations (his statement is a warning
sign that he may be thinking of suicide)
A febrile 54 y/o female complains of nausea and vomiting with
pain around
her umbilicus. Her abdominal tenderness increases on
palpation. VS are BP
80/40 and P 130. What should you suspect? - ANSWER-
Ruptured appendix
(rebound tenderness and
febrile)