You are transporting a 23-year-old trauma patient from a com…

You are transporting a 23-year-old trauma patient from a community hospital to a Level I trauma center. She is receiving a unit of packed RBCs and IV fluids. Vital signs are BP 94/50, P 110, R 26, and SpO2 97% on 4 lpm NC O2. During transport she complains of chills, back pain, and she vomits. Vital signs are now BP 80/42, P 128, and R 30. You suspect

A 56-year-old patient is complaining that his “heart is raci…

A 56-year-old patient is complaining that his “heart is racing”. He is disoriented and having difficulty breathing. Examination reveals a BP of 64 by palpation, a weak and rapid carotid pulse, and pale cool skin. The ECG is shown below. Your partner is in the process of administering oxygen. You should    

You are preparing to perform synchronized cardioversion on a…

You are preparing to perform synchronized cardioversion on an unstable tachycardia patient after administering a sedative and analgesic. You are about to deliver the electricity when your patient becomes unresponsive and pulseless. The ECG is shown below. When you attempt to cardiovert the patient, the defibrillator will not discharge. This is because the    

You are preparing to perform synchronized cardioversion on a…

You are preparing to perform synchronized cardioversion on an unstable tachycardia patient after administering a sedative and analgesic. You are about to deliver the electricity when your patient becomes unresponsive and pulseless. The ECG is shown below. When you attempt to cardiovert the patient, the defibrillator will not discharge. This is because the