Behavioral, Biological & Chemical Emergencies Flashcards
Patients exposed to certain chemicals should be _____.
decontaminated
A patient presenting with a psychiatric emergency may be:
Violent
Depressed
Suicidal
It is an urgent, serious disturbance of behavior, affect, or thought that makes the patient unable to cope with his or her life situation and interpersonal relationships.
Behavioral Emergencies
Characterized by shock, numbness, and disbelief.
Acute Phase
Different kinds of rape:
- Power – to prove one’s masculinity.
- Anger – a means of retaliation.
- Sadistic – to express erotic feelings.
Agents of bioterrorism:
Bacteria
Viruses
Insects
Fungi
Toxins
Provide privacy and assist during examination:
Signs of external trauma
Dried semen stains
Broken nails
Oral exams
It is a form of terrorism involving the intentional release or dissemination of biological agents in the environment.
Bioterrorism
Nursing considerations for suicide
Provide one-on-one monitoring.
Have frequent unscheduled rounds.
Avoid use of metal or glass utensils
Monitor impending signs of suicide (giving away valued possession)
Priority Care in a Rape Victim
- Treatment of injuries
- Preservation of evidence
Document evidence of trauma with
body diagrams or photographs
Example of bioterrorism agents:
- Anthrax
- Botulism
- Small Pox
Characterized by the victim’s refusal to talk about the event.
Denial
True or False: Management of physical health should be ensure first upon arrival, trauma should be managed in the order of established priorities.
True
Examples of large chemical spills:
Ammonia
Chlorine
Asbestos cyanide
Carbon disulfide
The ultimate form of self-destruction; “cry for help”
Suicide
Rape is generally considered as an act of
Hostility
Anger
Violence
Major interventions for suicide
Prevention and Listen
It refers to the insertion of the penis into the mouth, vagina, anus of a victim. It also means insertion of any object in the mouth or anus.
Rape
Symptoms of chemical leak exposure
local: _____
systemic: _____
skin erythema; dyspnea
The Anti-Rape Law of 1997
R.A. 8353
Characterized by fear, tension, and nightmares.
Heightened Anxiety
It refers to a group of signs and symptoms experienced by a victim in reaction to rape.
Rape Trauma Syndrome
Essential Elements of Rape:
- Use of threat/force
- Lack of consent of the victim
- Actual penetration of the penis into the vagina
Use a _____ for examination; do not use _____.
water-moistened vaginal speculum; lubricant
Ask the patient what may alter interpretation.
douched, bathed, gargled or brushed, changed clothes, urinated or defecated
How many Filipinos commit suicide every year?
2.54 of 100,000
Priority nursing diagnosis for suicide
Risk for injury; self-directed
It is the exposure of a person from a chemical spill that brought symptoms.
Chemical Leak Exposure
If eyes do not require flushing, attempt to protect the eyes from _____.
cross contamination
Risk Factors for suicide:
S – Sex (more females attempts but more males are successful)
U – Unsuccessful previous attempt
I – Identification with a family member who committed suicide
C – Chronic
I – Illness
D – Depression/dependent personality
A - Age
L - Lethality of previous attempts/losses
Patients are treated based on _____ and _____ of symptoms (burns, allergies, pain).
presentation; severity
_____ are greater than 1 liter or may be spills containing highly toxic, volatile, or flammable chemicals.
Large spills
Suicide Hotline PH
(02) 804-4673; 0917-558-4673 [HOPE]
The victim’s life normalizes.
Reorganization
