Emergency Medical Technician (EMT) Intermediate Practice Exam

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Prepare for the EMT Intermediate Exam. Utilize flashcards and multiple-choice questions, each with hints and explanations. Get ready for your certification test!

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A 60-year-old female in suspected cardiogenic shock appears semiconscious. What should be included in her treatment?

  1. Warm compresses for comfort

  2. Assisted ventilation and a fluid bolus

  3. Administering aspirin only

  4. Immediate transport without intervention

The correct answer is: Assisted ventilation and a fluid bolus

In the context of suspected cardiogenic shock, the selected treatment involves providing assisted ventilation and administering a fluid bolus. Cardiogenic shock occurs when the heart is unable to pump effectively, leading to inadequate blood flow to the body's organs, which may result in a life-threatening condition. Assisted ventilation is necessary because the patient appears semiconscious, suggesting potential respiratory compromise. Supporting the patient's breathing can help ensure that adequate oxygenation is maintained, which is critical in managing any form of shock. The inclusion of a fluid bolus addresses the concern of hypoperfusion. Even though cardiogenic shock is primarily related to pump failure, cautiously administering fluids can help increase the venous return and improve cardiac output, provided there are no signs of fluid overload or heart failure. The other options do not comprehensively address the clinical situation. Using warm compresses would not be appropriate in this scenario, as they do not directly assist in ventilation or improve cardiac output. Administering aspirin alone, while it may be beneficial in certain cardiac conditions, is not sufficient to manage cardiogenic shock effectively. Lastly, immediate transport without any form of intervention would not provide the necessary care to stabilize the patient during transit, which could lead to deterioration of her condition. Overall