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Nix4Pres Nix4Pres
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Posts: 5446
8 years ago
Your patient is a 24-year-old male who was struck just below the left scapula with a 3-inch-diameter metal pipe. He is awake but having difficulty breathing. His pulse is 112 at the radial artery, and his respiratory rate is 28 per minute and shallow. His breath sounds are present bilaterally but diminished on the left. He has a blood pressure of 108/68. The patient is coughing up bloody sputum. He has no other complaints, and a rapid trauma assessment reveals no other life-threatening injuries. Which of the following represents the best sequence of intervention for this patient?
A) Begin transport immediately; administer oxygen, 15 liters per minute by nonrebreathing mask, 2 large bore IVs of isotonic solution to maintain a systolic blood pressure of 120 mmHg or greater.
B) Oxygen, 10-12 liters per minute by nonrebreathing mask, begin transport; initiate 2 large bore IVs at a keep-open rate.
C) Oxygen, 10-12 liters per minute by nonrebreathing mask, 2 large bore IVs of normal saline solution at a keep-open rate, transport.
D) Oxygen, 15 liters per minute by nonrebreathing mask; begin transport; initiate 2 large bore IVs of lactated Ringer's solution, wide open.
Textbook 
Essentials of Paramedic Care Update

Essentials of Paramedic Care Update


Edition: 2nd
Authors:
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feijoafeijoa
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8 years ago
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Nix4Pres Author
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8 years ago
Wow!
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8 years ago
I'll be around if you need anything else
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