BREATHING

• You are dispatched to a 50-year-old male patient who is suffering from dyspnea. When you arrive, you notice that the patient is sitting in tripod position and using accessory muscles to breathe. • Upon assessment, you find that his breaths are very fast and shallow, and his saturation is 86%. • His wife tells you that the patient has a Chronic Obstructive Pulmonary Disease for 3 years now.

• 2L

• 3L

• 1L

• 4L

• On a Sunday morning, you receive a call for an apartment that caught fire. When you arrive, the DC tells you that you only have one patient who has been trapped inside for several minutes. Upon assessment, the patient is alert and oriented but feeling dizzy. He has an oxygen saturation of 100% and normal circulation and skin perfusion.

• NO NEED

• 2L

• 10L

• 15L

You are dispatched to 75-year-old female who is suffering from chest discomfort. When you arrive, you find a lady sitting on her sofa, and having difficulty breathing. Upon assessment, you find that she is breathing at a rate of 35 breaths per minute, and the SpO2 is Unrecordable. Her skin is cool, pale, and diaphoretic. Her extremities are cyanotic. Her pulse is a bit strong and fast at a rate of 98beats per minute.

• 5l

• 2l

• 10L

• 6L

On a Sunday morning, you receive a call for a patient on the beach who is complaining of an altered mental status. When you arrive, a sailor tells you that you only have one patient who was diving. Upon assessment, the patient is no alert, he is feeling dizzy and complaining of musculoskeletal pain. He explains that he came out of the deep water very quickly. He has an oxygen saturation of 88%.

• no need

• 2l

• 15L

• 10L

You have been dispatched to a nearby apartment for a man who is not feeling well. When you arrive, the patient tells you that he has a stomachache and is about to vomit. Upon your assessment, you find that the patient needs supplemental oxygen, thus you apply nasal cannula and reach 6L/min. After reaching 6 L/min the patient reaches a saturation of 95% and is still increasing, what do you do now?

• take off the nasal cannula

• put 5L

• i dont do anytjing just keep it at 6L

• put face mask

You have been dispatched to a nearby apartment for a 77 year old woman who is complaining of abdominal pain. Upon assessment, you find that the patient is alert, tachypnea at a rate of 28 breaths per minutes, her SpO2 is 88%, cool and pale skin

• 2L

• 5L

• 6L

• 8L

You are dispatched to a motor vehicle crash. Upon arrival, you find a 24 year old male in a sitting position behind the steering wheel of his car. He is complaining of chest pain and severe dyspnea. His breaths are very rapid and shallow, with unequal chest rise, SpO2:94%. Upon further assessment, you discover that he was unrestrained, and there are major bruises on his chest

• 10L

• NO NEED

• 5L

• 2L

Which of the following conditions require non-rebreather mask with a flowrate of 10 to 15 l/min:

• (A) Shock

• (B) Broken bones

• (C) Asthma

• (D) All of the above

You respond to a patient who sustained a MVC while riding his motorcycle without wearing a helmet. As you initiate your assessment, you find him to respond to verbal stimuli, he has shallow, rapid respirations, SpO2 95%. He is cyanotic with a diaphoretic skin, and CRT: 3 seconds. He is bleeding from his forehead. What is your decision regarding supplemental oxygen?

• (A) Provide O2 via Nasal Cannula 2-6 L/min or simple Face Mask 5-10 L/min

• (B) No need for O2 provision as per protocol

• (C) Provide O2 via Non-Rebreather Mask 10 to 15 L/min

• (D) Initiate assisted ventilation

You are responding to a patient with history of COPD, presenting with shallow rapid respirations at a rate of 34, and SpO2 of 82%. The patient is on continuous supplemental oxygen at home via nasal cannula at a rate of 1.5L/min. After assessing the airways and breathing, which of the following is your management of choice?

• (A) Increase the oxygen flow rate via nasal cannula to 4 L/min

• (B) Switch to Non-Rebreather Mask 10 to 15 L/min

• (C) Initiate assisted ventilations

• (D) Fix patient position and keep the nasal cannula at the same flowrate