Paramedic FISDAP Final

1. A 30 year old climber is experiencing sever shortness of breath after reaching an elevation of 12000feet. The PT is very anxious and has rales noted to all quadrants but is otherwise healthy. He is not accustomed to high altitudes. What should you do? A. Administer oxygen while descending to a lower altitude B. Coach the patient to slow his respirations C. Apply CPAP while the patient adapts to the elevations D. Evacuate the patient to a hyperbaric chamber - Administer oxygen while descending to a lower altitude. 100. A 53 year old man fell from a ladder. he has multiple abrasions and localized swelling on his head. You have oratorically intubated him. His ETOC2 is 30 his pupils are midpoint and reactive how many times per minute should you ventilate - 10 102. A patient involved in a fist fight. He complains of point tenderness in the right upper abdominal quadrant. You should suspect injury to the - liver 103. Successful intubation of a newborn is more successful by placing padding under the - shoulders 104. For the past 5 min you have been providing ventilations to an intubated patient and performing CPR it is becoming progressively more difficult to ventilate and the chest is moving less during inspiration. What should you suspect - tension pneumothorax 105. An elderly pt is complaining of dyspnea that woke her from sleep about an hour ago. She denies chest pain. Auscultation reveals wheezing and crackles in both lower lobes of her lungs. Vitals signs are 158/108 P 128 and irregular R 32 and slightly labored what should you administer - albuterol 106. A 59 year old pt is lethargic with shallow respiration he has a valid DNR order during transport his respiratory rate diminishes to 8 breaths a min you should - begin assisting with a bvm 107. a 89 year old nursing home pt is in respiratory distress. She is on 3 lpm of oxygen by nasal cannula. She has a history of COPD asthma and diabetic and you note wheezing in all lung fields. Vitals BP 146/84 P 114 R 24 you should A. increase the oxygen level to 6 lpm via nasal cannula B. ventilate the patient to 10-12 bpm via bag-valve mask C. administer 40 mg furosemide intravenously D. place her on 15 lpm of oxygen via nonrebreather mask - place her on 15 lpm or oxygen via nonrebreather mask