Treating Fever and a Productive Cough (TMC Practice Question)

The video breaks down a sample TMC practice question about treating a patient with signs of fever and a productive cough. What would you recommend?
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➡️ Question
A 39-year-old male patient was admitted to the emergency department with a fever and SpO2 of 87% on room air. Upon auscultation, rhonchi is heard, and the patient has a productive cough. Which of the following would you recommend?
A. Intubate and provide mechanical ventilation with 40% oxygen
B. Provide noninvasive positive pressure ventilation using a full face mask
C. Implement postural drainage and percussion with directed coughing
D. Provide oxygen therapy and obtain a sputum sample for culture and sensitivity

To get this one correct, you needed to recognize that the patient has some type of infection (e.g., pneumonia). You know this because the question states that the patient is hypoxemic, has a fever, and has rhonchi on auscultation. So, in this case, you should obtain a sputum sample for culture and sensitivity to identify the type of organism that is present. Additionally, oxygen therapy would be indicated to treat the patient's hypoxemia. Intubation and NPPV would not be indicated in this case, and postural drainage and percussion would also not be recommended.

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This content is for educational and informational purposes only. It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Please consult with a physician with any questions that you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you watch in this video. We strive for 100% accuracy, but errors may occur, and medications, protocols, and treatment methods may change over time.

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⏰TIMESTAMPS
0:00 - Intro
0:30 - Practice Question
1:11 - Explanation
1:50 - Correct Answer

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