Crucial Exams

AAMA CMA Practice Question

A patient with a legally binding document that refuses any form of artificial airway support is in a state of declining respiratory function. Despite the administration of oxygen via a mask and maintaining the patient in an upright position, their oxygen saturation continues to drop, and the team is faced with a decision on further interventions. What is the most appropriate action for the healthcare team to take in alignment with the advance directives?

  • Respect the advance directives stipulating no artificial airway support and continue with palliative care measures.

  • Temporarily provide artificial airway support while seeking consent from next of kin for further directives.

  • Proceed with the establishment of an artificial airway, assuming the document does not apply in life-threatening scenarios.

  • Seek an expedited ethical review to potentially override the documented instructions due to the urgent nature of the situation.

AAMA CMA
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