You Are Called to a Local Physician's Office Where You

question 47

Multiple Choice

You are called to a local physician's office where you find a 52-year-old male patient with a history of chronic renal failure. He is conscious but disoriented. The physician reports that the patient's wife brought him in because he has had a "chest cold," missed dialysis yesterday, and is now "acting strangely." Physical examination reveals cool, diaphoretic skin; edema to dependent areas, and lung sounds with rhonchi in the right upper lobe. HR = 118, BP = 142/100, RR = 20 and deep, SaO₂ = 97%, blood glucose = 79 mg/dL. Bloodwork performed by the physician in his office indicates a pH of 7.2. In addition to 15 liters per minute of oxygen by nonrebreathing mask and an IV of normal saline at a keep-open rate, which of the following is most appropriate for this patient in the prehospital setting?

• A) IV sodium bicarbonate, 1 mEq/kg
• B) IV magnesium sulfate, 10 gm
• C) IV dextrose, 25 gm
• D) IV furosemide, 120 mg

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Definitions:

Second-Price Auction

An auction format in which the highest bidder wins but pays the second-highest bid, encouraging true value bidding.

Selling Price

The amount of money for which a product or service is sold to the customer.

True Value

The actual, intrinsic value of an asset or entity, not influenced by external factors like market fluctuations or subjective perceptions.

Bid-Rigging

An illegal agreement among competitors to raise, lower, or maintain prices at agreed-upon levels, often in auctions.