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Chapter 40: ALS Assist

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The distal cuff on an ET tube should be inflated with no more than ______ of air after it is placed into the trachea.
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10 mL
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You are transporting an intubated 24-year-old female when her level of consciousness improves and she becomes combative. Without assisted ventilation, she appears to be breathing adequately. You should anticipate that your ALS partner will:
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Give her a sedative drug per local protocol.
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A major benefit when using a multilumen airway device is that:
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Maintenance of a mask-to-face seal is not required.
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In the prehospital setting, gastric tubes are used primarily to:
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Decompress the stomach.
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For which of the following patients would the use of a continuous positive airway pressure (CPAP) device be of MOST benefit?
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62-year-old man with severe respiratory distress, a history of congestive heart failure, and audible rhonchi in the lungs
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After sliding the piercing spike of the administration set into the IV bag port, you should next:
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Prime the line and flush the air out of the tubing.
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If an IV line is found to be infiltrated, you should:
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Remove the catheter and apply direct pressure.
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An IV line is not running as fast as it should be. There are no signs of infiltration. You should:
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Ensure that the tourniquet has been released.
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The QRS complex is an electrical representation of:
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Ventricular contraction.
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It does not matter if you place the arm leads on the patient’s shoulders or arms, as long as:
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They are at least 10 cm from the heart.
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A 12-lead ECG:
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may identify myocardial ischemia or injury.
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A 50-year-old male develops acute respiratory distress and cyanosis shortly after an IV line has been established. You should administer high-flow oxygen and:
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place him on his left side with his head down.
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After opening a patient’s airway, you should:
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ensure the airway is clear.
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Although you should carry a variety of endotracheal (ET) tube sizes, a _____ ET tube will adequately fit most adults.
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7.5-mm
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Complications associated with endotracheal intubation include all of the following, EXCEPT:
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left main stem bronchus intubation.
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D5W is MOST commonly used for:
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mixing and administering medications.
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Endotracheal intubation is indicated for patients:
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who are unconscious and cannot protect their own airway.
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Immediately after you place an ET tube in the trachea, you should remove the stylet and then:
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inflate the distal cuff and detach the syringe.
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Leads V1 and V2 in a 12-lead ECG should be positioned:
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on each side of the sternum at the fourth intercostal space.
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Proper confirmation of correct gastric tube placement includes:
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injecting air into the tube and auscultating the stomach for gurgling.
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The heart’s primary pacemaker is the:
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sinoatrial (SA) node.
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The MOST effective treatment for ventricular fibrillation or pulseless ventricular tachycardia of short duration is:
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prompt, rapid defibrillation.
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The MOST important step in assembling intravenous (IV) equipment is to:
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strictly adhere to standard precautions.
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To avoid obscuring your view of the vocal cords during intubation, you should:
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not pass the ET tube down the center of the laryngoscope blade.
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Vasovagal reactions that occur in patients receiving IV therapy are MOST often the result of:
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a fear of needles or the sight of blood.
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Ventricular tachycardia is characterized by:
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wide QRS complexes and a heart rate greater than 100 beats/min.
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Visualized orotracheal intubation requires all of the following equipment, EXCEPT a:
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local anesthetic.
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What is a Volutrol and when should it be used?
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Volutrol is a 100-mL calibrated drip chamber that can be shut off from the IV bag. It should be used to prevent fluid overload in pediatric and geriatric patients.
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When applying the 4-lead ECG electrodes to a patient, the white (negative) lead should be placed:
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on the right arm.
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When determining the proper size ET tube to use in an infant or small child, you should:
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use a length-based resuscitation tape measure.
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Which of the following correctly describes the normal path of electricity through the cardiac conduction system?
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SA node, internodal pathways, AV node, bundle of His, left and right bundle branches, Purkinje system
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Which of the following is the MOST reliable indicator of successful endotracheal intubation?
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visualization of the tube passing between the vocal cords
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Which of the following statements regarding the IV administration set is correct?
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It moves fluid from the IV bag into the patient’s vascular system.
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You have attempted to intubate a 66-year-old male twice without success. Medical control is unable to be contacted. Your MOST appropriate action should be to:
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insert an oral airway, ventilate with a bag-mask device, and transport.
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You should routinely inspect a bag of IV fluid for all of the following, EXCEPT:
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the manufacturer