You are assessing a patient whom you believe is bleeding ...

[roselinechinyere27m]

You are assessing a patient whom you believe is bleeding internally and is in an early stage of shock. After placing the patient on oxygen and positioning the patient, which of the following solutions should you ask your partner to prepare for you as you attempt to initiate an intravenous line?
 
  a. 0.45 normal saline
  b. 0.9 normal saline
  c. Dextrose 5 in water (D5W)
  d. Crystalloids are contraindicated in the treatment of shock. Only whole blood or blood components are used in these situations

Question 2

When Nitronox has been removed from the patient who has been using it for pain relief, it will:
 
  a. Be effective for at least 3045 minutes before its half-life is diminished
  b. Cause respiratory depression as the effects grow weaker
  c. Quickly dissipate from the patients system
  d. Eliminate all pain that the patient is experiencing

[fromAlphatoOmega22]

Answer to Question 1

b
Rationale: a. Hypotonic solutions enter the cells rapidly leaving the intravascular space making them not suitable for volume replacement.
b. Correct.
c. Hypotonic solutions enter the cells rapidly leaving the intravascular space making them not suitable for volume replacement.
d. While whole blood is most preferable, in the prehospital realm, they are rarely used and crystalloids provide temporary volume expansion until the patient can be delivered to the hospital.

Answer to Question 2

c
Rationale: a. Nitronox rapidly dissipates from the patients system once removed.
b. Dissipation of the narcotic-like effects will eliminate side effects
c. Correct.
d. Symptoms of pain may return following the removal of Nitronox.