Practice Quiz

NREMT Paramedic

Category - Airway

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You have successfully intubated your patient and your partner has been performing bag-valve-mask ventilation for the past few minutes when he tells you that the bag is becoming harder to squeeze. You notice distended jugular veins and cyanosis. On auscultation, the right chest is silent, and the left has diminished sounds. What should be your next immediate action?
  1. Perform a cricothyrotomy
  2. Decompress the right chest with a large-bore catheter
  3. Extubate the patient
  4. Insert an oropharyngeal airway as a bite block
Explanation
Answer: B -The appropriate treatment should be to perform decompression of the right chest with a large-bore catheter. This will allow for movement of the air in the interstitial spaces around the lungs to be relieved of pressure through the needle catheter and allow for lung reinflation.
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