CBRN injury part 2

Question 1

The hallmark clinical presentation of ______ that leads to diagnosis is tissue hypoxia without cyanosis (pulse oximetry may be normal) with the finding of metabolic acidosis

Answer 1

cyanide

Question 2

T/F when a victim has been exposed to cyanide in a gas form, clothing should be removed before evacuation from location

Answer 2

false, evac and then remove

Question 3

what should be done before contaminating a patient who has been exposed to cyanide with irrigation solutions

Answer 3

treatment with antidote

Question 4

The mainstay of treatment is antidote therapy with ________.

Answer 4

hydroxocobalamin

Question 5

However, if hydroxocobalamin is not available, the ________can be used

Answer 5

cyanide antidote kit

Question 6

Nerve agents consist of mainly two classes,________ and ________.

Answer 6

G agents, V agents

Question 7

Rapid antidote treatment is extremely important since some nerve agents can irreversibly bind to _________

Answer 7

acetylcholinesterase

Question 8

____________ tends to result in faster onset of symptoms and can quickly cause death due to rapid systemic distribution.

Answer 8

Inhalational exposure

Question 9

after removing the casualty from a nerve agents vapor exposure area, what should be the next step?

Answer 9

antidote

Question 10

Diagnosis of nerve agent exposure is based on:

Answer 10

rapid identification of the clinical symptoms and identification of the agent through detection methods.

Question 11

Nerve agent antidotes include

Answer 11

2PAM, atropine, and benzodiazepines

Question 12

________will help dry secretions (bronchorrhea) and counter the effects of the bronchoconstriction caused by the nerve agent.

Answer 12

Atropine

Question 13

__________hold historical significance as the forerunners of modern chemical warfare and still hold relevance today as likely chemical culprits given their availability

Answer 13

Pulmonary agents

Question 14

T/F There are no readily available diagnostic tests to confirm or quantify pulmonary agent toxicity

Answer 14

true

Question 15

chlorine exposures may lead to copious secretions and laryngospasm shortly following exposure, therefore providers should be prepared for _________ and possibly __________

Answer 15

airway management, emergent surgical airway control.

Question 16

T/F Sulfur mustard agents will cause chemical burns associated with blisters within a few hours of contact with the skin or mucous membranes.

Answer 16

true

Question 17

First responders should have __________ during initial treatment of mustard casualties

Answer 17

respiratory and skin protection

Question 18

Patients with __________ toxicity can present with dry mouth and tachycardia leading the provider to believe dehydration is present when the patient is euvolemic.

Answer 18

anticholinergic