On-Scene You Are Presented with a Confused Patient Suffering from Altered

Multiple Choice

On-scene you are presented with a confused patient suffering from altered mental status. Additionally, in front of the family, the patient is very irritable and verbally abusive toward all present, including EMS. His wife states that his "kidneys are no good" and he also has "sugar" problems. Your assessment indicates that he is dyspneic with pale skin that is covered with a fine white sediment. His radial pulse is weak, rapid, and irregular. Additionally, you note edema to his hands, feet, and face. Crackles are noted to the lungs bilaterally and he has a dialysis graft on his right forearm. Your partner reports that his heart rate is 164, respirations 26, blood pressure 176/90, and SpO₂ 89%. After applying high-concentration oxygen, which of the following would you perform next?

A) Administer furosemide, 120 mg
B) Infuse a 1000 mL bolus of NS
C) Determine the blood glucose level
D) Administer sodium bicarbonate, 50 mEq