Emergency Medical Technician (EMT) Practice Test

How should a loss of abdomen with 1-inch distention be managed?

1. Administer pain medication

2. Apply cold compress

3. Reposition the patient

4. 1000-2000 mL fluid replacement

The correct answer is: 1000-2000 mL fluid replacement

In the context of a loss of abdominal volume and a 1-inch distention, the most appropriate management would involve fluid replacement. The rationale behind this approach is that abdominal distention can often be a sign of internal bleeding or fluid loss. By administering 1000-2000 mL of fluid, you are effectively addressing potential hypovolemia and supporting blood circulation, which is crucial for maintaining organ function and preventing shock. Fluid replacement helps to restore circulating blood volume, which can improve the patient's hemodynamic stability. This is particularly important in emergency situations where rapid assessment and intervention are necessary to prevent deterioration of the patient's condition. In scenarios where there is evidence of significant loss of fluids or blood in the abdominal region, ensuring adequate hydration and circulation becomes paramount. In contrast, administering pain medication may mask symptoms or delay diagnosis, applying a cold compress would not directly address potential internal issues, and repositioning the patient could also fail to provide necessary supportive management if significant fluid loss is present. Therefore, fluid replacement stands out as the most effective initial response to manage a patient exhibiting these symptoms.