Respiratory Therapist

Category - Initiation and Modification of Interventions

A victim of a house fire was admitted to the emergency department.

What treatment is acceptable for the patient?
  1. Oxygen via nasal cannula at 4 L/min
  2. Venturi mask at 40% oxygen
  3. A non-rebreather mask at 100% oxygen
  4. Mechanical ventilation
Explanation
Answer: C-A victim of a house fire, with or without known smoke inhalation, should be placed on a non-rebreather mask at 100% oxygen.

A non-rebreather delivers 100% oxygen to the patient until further assessment, such as ABGs, can be performed. Neither a nasal cannula nor venturi mask would provide adequate oxygenation to a house fire victim. If the patient is not breathing, they would need mechanical ventilation but this is not mentioned in this case scenario.
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