Chapter 10 Respiration and Artificial Ventilation:Critical Decision Making - Custom Scholars
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Chapter 10 Respiration and Artificial Ventilation:Critical Decision Making

 

1. A patient found on the floor with no pulse or respirations must be immediately ventilated with a bag-valve mask and high-concentration oxygen.
2. A fourteen-year-old patient with a fractured femur and strong but mildly rapid pulse and respirations is likely experiencing significant pain. Administer oxygen and help relieve her pain by stabilizing the broken extremity.
3. A sixty-four-year-old alert patient with chest pain and stable vital signs needs oxygen administration if he is short of breath or showing signs of hypoxia.

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4. A seventy-eight-year-old COPD patient with rapid, shallow respirations who is no longer oriented should be manually ventilated with high-concentration oxygen to ensure the patient’s tidal volume can be improved with each manual respiration. Because the patient is still some what awake, his respirations need to be “tracked” in a manner so as to not agitate the patient and produce gas- tric insufflation. nasal cannula may be a better choice. Some EMS systems may also allow providers to use alternative devices such as Venturi masks or titrate the level of oxygen administration based on patient condition and oxygen levels (always. follow local protocols).

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