CH 22 POISONING & DRUG ABUSE Flashcards
The _____ makes the poison
Dose
Substance that when introduced to the body produces harmful effect on normal structures/functions?
Poison
If no toxic effects the incident is simply an ________
Exposure
Factors effecting poisoning?
Dose Age Gender Resistance State of health
Gastric lavage is a method to?
Decontaminate the stomach
Less than what % of poisons have specific antidotes?
5%
Sign of narcotic poison?
Beady eyes
Sign of cholinergic poison?
Sludge
Most common route of exposure?
Ingestion
Two types of irritant from ingested poison
ACIDIC: corrosive
BASIC: caustic
Preferred method for emptying the contents of the stomach when victim is conscious?
Emetic
Normal adult dose of Ipecac syrup
15-30ml
Used to “speed” movement of bound substance and minimize absorption?
Cathartic (magnesium sulfate or sorbitol)
Treat ingested acid or base using _____ only
water
Ingestion of mineral oil or motor oil will usually do nothing more than cause?
Diarrhea
Treat ingested petroleum distillates with?
30-60 ml of vegetable oil
Viral food poisoning appears w/in how long
8 hrs
Inhaled substances can fool the victim due to?
Olfactory fatigue
There are how many steps in initial evaluation and follow-on poison management?
6
Of the 40 species of scorpions in the U.S. which may cause serious effects?
Centruroides exilicauda
Treat scorpion bite with?
Ice up to 2 hrs
Calcium gluconate 10ml 10% solution IV
Dull numbing pain which spreads to entire torso. Board-like abdominal muscles is common. Symptoms indicate?
Black widow (latrodectus mactans)
What develops w/in hrs, over a brown recluse bite?
Bleb
Treatment of brown recluse bite?
Debridement of lesion, peroxide cleansing and Aluminum Acetate solution soaks.
How many venomous snake families?
5
Hospitalize and observe snakebites for at least how long?
24hrs
Crotalids (viperidae) most identifying feature?
Wide head
How should snake bites be washed?
GENTLY
Suction snake bite for when and for how long?
Best within 3 minutes, leave on for 30 minutes
Apply bandage over snake bite and wrap how far past the bite?
2” - 4”
Patch eye after cobra spit with enough pressure to do what?
Keep eyelid from blinking
When is a child’s dose the same as an adult?
Anti-venom
Do not use what on a snakebite?
Ice
Poisonous fish?
Puffer, Trigger, Parrot, Porcupine, file, surgeon, goatfish/surmullet
Soak fish bites in hot water not to exceed what temp?
114F
Fish that have been known to cause fatalities?
Sone, Zebra, Scorpion
What fish has a specific anti-venom?
Stonefish
Man-of-war, sea wasp, box jellyfish, sea nettle, anemone are examples of?
Coelenterates
Apply what to help prevent jellyfish sting?
Petroleum jelly
What is the only type of alcohol that may be effective on jellyfish sting?
Rubbing
What octopus may be fatal?
Blue-ringed
Bloodworms and Bristleworms are examples of?
Annelida
What sting should be considered as severe as a poisonous snake bite?
Cone shell
What snake injects a poison 2 - 10 times the toxicity of cobra venom?
Sea Snake
Ciguatera is caused by eating what?
Fish that consumed a toxin-producing microorganism
Undercooked fish may cause ______ when consumed?
Scombroid poisoning
Consuming contaminated raw oysters or undercooked crab and shrimp may cause what?
Typhoid fever
Venom of blue ringed octopus?
Tetrodotoxin
Two types of parasitic infection?
Superficial and flesh
Barbiturates are used to treat?
Various seizure disorders
What is the primary concern of barbiturates?
Withdrawal is LIFE THREATENING
Amphetamines affect what nervous system?
CNS
The stomach should only be contaminated if?
Victim is conscious
Drug was taken recently