Your patient is apneic and has a stoma. How should you ventilate this patient?
A. Perform a surgical cricothyrotomy above the stoma site, insert an appropriately sized and lubricated endotracheal tube, and ventilate.
B. Gently insert an appropriately sized and lubricated endotracheal tube into...
Chapter 10 Post-Test | Questions With Solutions
Your patient is apneic and has a stoma. How should you ventilate this patient?
A. Perform a surgical cricothyrotomy above the stoma site, insert an appropriately sized
and lubricated endotracheal tube, and ventilate.
B. Gently insert an appropriately sized and lubricated endotracheal tube into the stoma,
inflate the cuff, and begin ventilations.
C. Place a pediatric mask on the adult BVM, place the mask over the stoma, and ventilate.
D. Place a pediatric NRB over the stoma, and apply oxygen at 15 lpm. Correct Ans -
*C. Place a pediatric mask on the adult BVM, place the mask over the stoma, and ventilate.
Rationale:
For a patient with a stoma, use a pediatric mask on an adult BVM so that you can give the
correct tidal volume yet have a mask that will accommodate the smaller opening in the
neck. Although placing a small ET tube into the stoma site can be done, it is a skill for the
Paramedic, as is doing a surgical cricothyrotomy.
Assuming no change in tidal volume, what is the effect on minute volume if a patient who
was breathing 16 times per minute suddenly slows his rate to 8 times per minute?
A. There is no effect on the minute volume.
B. The minute volume is eliminated.
C. The minute volume is increased.
D. The minute volume is reduced. Correct Ans - *D. The minute volume is reduced
Rationale:
A reduction in respiratory rate without an increase in tidal volume would cause the minute
volume to decrease.
If there was damage to the patient's alveoli, you would expect the patient to experience:
A. difficulty in breathing.
B. a drop in heart rate.
C. an increase in urinary output.
D. a severe headache or double vision. Correct Ans - A. difficulty in breathing.
Rationale:
, If there was damage or disease to the alveoli, the patient would likely have trouble
oxygenating the blood and eliminating carbon dioxide, which would eventually lead to
respiratory distress.
What is the purpose of a pressure regulator on an oxygen tank?
A. It provides a safe working pressure of oxygen administration.
B. It eliminates the risk of combustion during oxygen administration.
C. It will monitor the patient's oxygen saturation status.
D. It will increase the oxygen pressure the patient will receive. Correct Ans - A. It
provides a safe working pressure of oxygen administration.
Rationale:
An oxygen tank has too much pressure for a patient. The regulator reduces the tank
pressure to safe levels for oxygen administration.
What is the maximum oxygen flow rate when using a nasal cannula?
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