As you are treating a patient who has had blunt trauma to the chest, during transport, oxygen saturation is falling and the patient is experiencing hemoptysis. Lung sounds are clear and equal bilaterally, but diminished due to painful breathing. You suspect:
A) simple pnuemothorax.
B) cardiac tamponade.
C) tension pnuemothorax.
D) pulmonary contusion.
Question 2
In providing fluid therapy for the head injury patient with a delayed capillary refill, diminished level of consciousness, and other signs of shock, the fluid should be administered:
A) slowly so as not to raise ICP any higher.
B) aggressively with two IVs of five percent dextrose and water.
C) aggressively with two large-bore IVs of an isotonic solution.
D) slowly so that the head injury does not bleed more profusely.
A hearing-impaired patient using an interpreter.
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Inadequate Airway, Breathing and Circulation in the Trauma Patient (Part 3)