Which tаste sensаtiоn аllоws оne to taste alkaloids?
En RоuteIt is 11:15аm аnd yоu аre staffing a 2-paramedic transpоrting ambulance. Your unit is dispatched to a residence for a 12-year-old female with a history of asthma for shortness of breath. It is a clear spring day, and the temperature is 86F (30C). The response time is about 10 minutes. There is a community hospital about 5 minutes away, and a level 2 trauma center with most capabilities about 15 minutes away. Dispatch notes state the patient’s symptoms started about 20 minutes prior to calling 9-1-1. On Scene The mother leads you into the living room where you find the patient (40kg) sitting on a couch leaning forward with her arms resting on her thighs. She makes eye contact when the crew arrives and is head bobbing as she speaks. The patient can speak 2-3 words between breaths. The mother states the patient was playing outside and started having difficulty breathing about 30 minutes ago. The patient has a history of asthma and seasonal allergies. She has a prescription for albuterol MDI but is currently out of medication. The patient's skin is pale. There are no signs of trauma, and the patient obeys motor commands. The patient’s lower lobes are silent on auscultation, with minimal wheezing noted in the bilateral upper lobes. Nasal flaring and intercostal retractions are noted. Eyes are open, pupils are 4mm and reactive to light. The vital signs are BP 110/68, P 116, R 32, SpO2 88% on room air, and T 98.4F (37C), The blood glucose is 90. EtCO2 58. POST SCENEThe patient is packaged onto the stretcher in a high fowler's position and transport is initiated to the level 2 hospital. The patient remains dyspneic and appears to be tiring out. She is becoming harder to arouse but will open her eyes when stimulated. She is no longer answering questions. Accessory muscle use has increased. Lung sounds now present with wheezing in the upper lobes and minimal air entry in the lower lobes. Vital signs are BP 100/54, P 124, R 36, and SpO2 92% on the nebulizer treatment.