Your patient is a 32-year-old female who is alert but in significant distress, complaining of a migraine. She has a history of migraines, describes a gradual onset of headache this morning, and is now experiencing nausea and intense throbbing pain behind her temples. She is lying on a couch in a dim room and keeps her eyes closed while talking to you in a low voice. HR = 100, BP = 148/100, RR = 12, SaO2 = 99. Which of the following is most appropriate in the prehospital management of this patient?
A) Morphine sulfate, IV in 2 mg increments, up to 10 mg
B) NTG SL, 0.4 mg, up to 3 tablets or a diastolic blood pressure of 80 mmHg
C) A calm, quiet environment and dim lights
D) Lorazepam, 2 mg
Question 2
When decontaminating a patient, it is important that you:
A) wear your uniform to protect you from hazards.
B) contain all wastewater that may be contaminated.
C) spray the patient with a high-volume fire hose.
D) transport all contaminated clothing with the patient.
Nurse-patient interaction; nonveral communication
Caring for a patient on isolation precautions cont'd
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