PA, O2 protocol and shock

Which of the following cases does NOT need High flow O2 via NRB?

• Traumatic Brain Injury (TBI)

• Cardiogenic Shock

• CO poisoning

• Leg fracture

A COPD Patient with SpO2 level of 84% should be given High flow O2 via NRB

• True

• False

Which of the following patients needs Assisted ventilation?

• Fouad, 75 yrs old. RR 32 shallow, SpO2 91% despite O2 application, AMS

• Mirvat, 61 yrs old. RR 32 shallow irregular, SpO2 84% upon initial assessment, responsive to P

• Amal, 84 yrs old. RR 10 shallow with wheezing, SpO2 89% despite giving O2

• Manaf, 33 years old. CO poisining. SpO2 99%, RR42 shallow, AMS, Cyanotic

Which patient is showing early signs of compensated shock?

• 23-year-old woman: pulse, 104; respiration, 25/min; BP, 118/78

• 45-year-old woman: pulse, 68; respiration, 20/min; BP, 110/72

• 25-year-old boy: pulse, 110; respiration,22/min; BP, 88/52

• 60-year-old man: pulse, 76; respiration,10/min; BP, 96/60

The cool, clammy skin that is a sign of shock results from

• A rise in the patient’s temperature

• The body’s attempt to increase the vascular space

• Decreased heart rate and blood pressure

• Diversion of blood flow to the vital organ

A patient with the following assessment: SpO2 90%, RR 23, pale skin, Oriented, is in respiratory failure.

• True

• False

Inadequate perfusion can be caused by:

• Heart failure

• Blood loss

• Dilation of blood vessels

• All of the above

Which of the following is a possible O2 provision method for a patient with an SpO2 value of 92%

• 5-10 L via simple face mask

• 10-15 L via NRB

• 5-10 L via nasal cannula

• 2-6 L via simple face mask

You are responding to a patient with COPD, presenting with a RR of 34 that is shallow, and SpO2 of 82%. The patient is on continuous supplemental oxygen at home via nasal cannula at a rate of 2 L/min, which of the following is your management choice?

• Switch to NRB 10 to 15 L/min

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

• Initiate assisted ventilations

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

Signs of CO poisoning include all the following except:

• AMS

• Chest pain

• High SpO2 level

• Headache, dizziness