The assessment was thorough but deciding to use nasal cannula at 4 Lpm when the patient has a respiratory rate of 34, probably short/shallow tv and most likely affected/labored breathing was highly questionable.
@@georgeconstanza6505 If he is using her EpiPen he has to do at least 6 of the 9 rights Right Patient, Right Medication, Right Dose, Right Time, Right Route and Right Education ( giving her the adverse effects even if she used it before )
an NPA would work, but its uncomfortable for the patient. If there is head trauma, do not use an NPA. Use an OPA. the airway is secured since the patient is conscious, and breathing on their own.
The assessment was thorough but deciding to use nasal cannula at 4 Lpm when the patient has a respiratory rate of 34, probably short/shallow tv and most likely affected/labored breathing was highly questionable.
So what would you do instead of using the nasal cannula?
@@anthonycruz6868 non-rebreather at 15 LPM
Agreed ^
Shouldn't you start with PPV? Is her breathing inadequate
Especially her going into anaphylactic shock 😂 Where was the high flow O2? Thermal management? It was definitely a goofy thing to watch
Nasal cannula? Shouldn't it have been an NRB? She was tachypneic at 34 breaths/min.
I agree and she has symptoms of shock therefore he should have thermoregulate
He didn’t check the medication before administering Right dose, Right patient, right time, right route, and right medication
Didn't he check it when reviewing the equipment?
@George Constanza no I think that's just to get a grasp of the scenario and the equipment you should be using.
@@georgeconstanza6505doesn’t count
@@georgeconstanza6505 If he is using her EpiPen he has to do at least 6 of the 9 rights Right Patient, Right Medication, Right Dose, Right Time, Right Route and Right Education ( giving her the adverse effects even if she used it before )
would you apply an NPA to secure the airways in this scenario?
an NPA would work, but its uncomfortable for the patient.
If there is head trauma, do not use an NPA. Use an OPA.
the airway is secured since the patient is conscious, and breathing on their own.
Before giving epipen you should have been told about its indications and side effects, route,
I think the epi pen should have been used sooner given her presentation.
with given her oxygen its helping her breath that gives him a little time to assess her and make sure the medication is not discolored or expired.
Unfortunately for this test they are very strict about treatments being given after all history taking is done, even if it is wrong for real life.
The thumb placement on EpiPen 😭
The incorrect placement of the EpiPen😭
Should have administered epinephrine as soon as 2 affected systems were found.
I'll take note on this, it's very useful though ❤️⚕️
didn’t check pulse, skin signs or cap refill
cap refill isnt used above 2 years old
at least in NYC it depends on your states protocols
he checked her skin signs when he checked her pulse
Have learn something thanks
AVPU