Emergency Medical Technician (EMT) Intermediate Practice Exam

In the case of a 50-year-old female presenting with nausea, vomiting, diarrhea, and low blood pressure, what intervention would NOT be appropriate?

1. Salt-containing solutions by mouth

2. Aspirating gastric contents

3. Administering IV fluids

4. Providing oral rehydration solutions

The correct answer is: Salt-containing solutions by mouth

In the context of managing a 50-year-old female with nausea, vomiting, diarrhea, and low blood pressure, the focus is on addressing her symptoms and potential dehydration. Salt-containing solutions taken by mouth might not be appropriate due to the risk of worsening nausea and vomiting, which could lead to further complications. The concern with using standard salt solutions is that they may be too concentrated or not appropriately formulated, potentially leading to an electrolyte imbalance, especially since the patient already shows signs of gastrointestinal distress. Other interventions, such as providing IV fluids, are beneficial in this scenario as they efficiently restore hydration and electrolyte balance without risking exacerbation of nausea. Aspiration of gastric contents may be indicated if there is a risk of ingestion or if there is a need to decompress the stomach. Similarly, oral rehydration solutions (ORS) are typically designed to replace fluids and electrolytes lost during episodes of vomiting and diarrhea, making them suitable for mild to moderate dehydration. Thus, the use of salt-containing solutions by mouth is correctly identified as an inappropriate intervention in this clinical setting, given the patient's current symptoms and the need for careful management of her condition.