Your patient is a 55-year-old male with a history of seizures who is on the floor and experiencing tonic-clonic motor activity. His jaw is clenched, he has peripheral cyanosis, and there are frothy secretions in his airway. HR = 130, RR = 4 and shallow, SaO2 = 88. Which of the following is most appropriate?
A) Suctioning the airway, inserting a nasopharyngeal airway, assisting respirations by bag-valve-mask device with 100 percent oxygen
B) Immediate nasal intubation and hyperventilation with 100 percent oxygen
C) An IV of normal saline at a keep open rate, check blood glucose level, administer 3 mg of lorazepam, IV
D) An IV of normal saline at a keep open rate, check blood glucose level, administer 5 mg of diazepam, IV
Question 2
You are assessing a newborn who presents with respiratory distress; heart sounds auscultated over the right chest; and a small, flat abdomen. Which of the following is appropriate in his care?
A) Insertion of a gastric tube
B) Needle chest decompression
C) Elevation of the head and chest, endotracheal intubation
D) Ventilation via an automatic transport ventilator
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