Your patient is a 43-year-old female with a history of peanut allergy. She is complaining of dizziness after eating a casserole that she later discovered contained peanuts. Your physical examination reveals warm, diaphoretic skin; a blotchy, red rash covering her chest and arms; and lung sounds that are clear and equal bilaterally. HR = 122, BP = 124/76, RR = 15 and regular, SaO2 = 97. In addition to providing oxygen, appropriate treatment for this patient includes:
A) IV of NS wide open, epinephrine 1:1000 SC, diphenhydramine IV.
B) IV with crystalloid solution such as lactated Ringer's or normal saline.
C) IV with crystalloid solution such as lactated Ringer's or normal saline, epinephrine 1:1000 SC, diphenhydramine IV.
D) IV with crystalloid solution such as lactated Ringer's or normal saline, epinephrine 1:1000 SC, diphenhydramine IV, nebulized albuterol.
Question 2
You have been called to an industrial warehouse for a young adult male who was exposed to an unknown chemical gas. The patient was immediately removed from the environment and presents to you with a patent airway, burning to the throat with inspiration, and complaint of shortness of breath. His vital signs are: pulse 120, respirations 28, blood pressure 164/60, and SpO2 of 90. In addition, you note bilateral wheezing to the lungs. What should be your first action in caring for this patient?
A) Apply in-line manual spinal stabilization.
B) Administer high-concentration oxygen.
C) Identify the chemical to which he was exposed.
D) Administer a saline mist through a small-volume nebulizer.
The general survey includes assessing every patient for signs of distress.
Camera History
The patient's signature on the informed consent form indicates that the patient understands the
It is important to act concerned when a patient is upset.
Elizabeth, a married 35-year-old woman, always thought that she followed a sensible diet