Chapter 22 Part 2 Flashcards
Ciguatera
Seafood poisoning from toxins in fish tissues.
Salmonella
Bacterial infection from contaminated food or water.
Campylobacter
Common poisoning from contaminated poultry and milk.
Escherichia coli (E. coli)
Severe gastrointestinal poisoning from contaminated foods.
Staphylococcus aureus
Food poisoning from unhygienic food preparation practices.
Symptoms of Food Poisoning
Include cramping, nausea, vomiting, and diarrhea.
Severe Allergic Reaction
Life-threatening response requiring immediate medical attention.
Reassessment Frequency
Regular checks on patient condition during transport.
Flush Contaminated Skin
Use large amounts of water for decontamination.
Vomiting Precaution
Be alert for airway compromise due to vomiting.
Advanced Life Support
Higher level of medical care for deteriorating patients.
Transport Protocol
Follow guidelines for safe patient transport.
Signs of Poisoning
Varied symptoms, often delayed after toxin exposure.
Carbon Monoxide (CO)
Colorless, odorless gas from incomplete combustion.
Food Poisoning Symptoms
Increased temperature, blood disorders, muscle issues.
Emergency Medical Care
Do not give anything by mouth; transport immediately.
Leading Cause of Death
Carbon monoxide poisoning is a major cause.
Sources of CO
Includes furnaces, vehicle exhaust, and tobacco smoke.
Initial Symptoms
Flu-like symptoms without fever or body aches.
Tachypnea
Rapid respiratory rate indicating potential distress.
Altered Mental Status
Confusion early, unresponsiveness late in poisoning.
Pulse Oximeter Reading
High readings can be misleading in CO poisoning.
Hypoxia
Condition where cells lack adequate oxygen.
Signs of Severe Poisoning
Temporary blindness, hearing loss, convulsions, coma.
False Recovery Signs
Awakening does not indicate resolution of poisoning.
Carbon Monoxide Displacement
CO replaces oxygen on hemoglobin in blood.
Emergency Care Steps
Maintain airway and assess breathing status.
Enclosed Space Danger
Increased risk of CO poisoning in confined areas.
Common CO Sources
Includes grills, stoves, and faulty heaters.
Symptoms Shared by Others
Consider CO poisoning if multiple people affected.
Time to Death
Can occur within minutes from CO exposure.
Chronic Exposure Risks
Long-term exposure can lead to severe complications.
Medical Care Requirement
All CO poisoning cases need immediate medical attention.
Carbon Monoxide Color Change
Turns hemoglobin bright red, affecting oximeter readings.
Suicide Method
Automobile exhaust is a common method due to CO.
Transport Guidelines
Move patients to open air, away from CO sources.
Nonrebreather mask
Delivers high oxygen concentration regardless of readings.
Carboxyhemoglobin half-life
Decreases significantly with high oxygen therapy.
Pulse oximeter
Not reliable for guiding oxygen therapy.
CO-oximeter
Measures carbon monoxide levels in blood.
Positive pressure ventilation
Used when respiratory rate or tidal volume is inadequate.
Cyanide
A poison that interferes with cellular oxygen use.
Cyanide exposure routes
Inhalation, absorption, injection, and ingestion.
Common cyanide sources
Household products, rodent poisons, and cherry pits.
Incomplete combustion
Produces cyanide from burning plastics and carpets.
Cyanide poisoning hypoxia
Oxygen delivery occurs, but usage is impaired.
Early signs of cyanide poisoning
Headache, confusion, agitation, and dyspnea.
Bitter almond smell
Characteristic odor of cyanide, not detectable by all.
Late signs of cyanide poisoning
Seizures, coma, hypotension, and cardiac arrest.
Emergency care for cyanide poisoning
Scene safety and personal protection are essential.
Self-contained breathing apparatus
Used to protect rescuers from toxic environments.
Patient care goals
Ensure ventilation, oxygenation, and correct hypoperfusion.
Cyanide as a blood agent
Also known as hydrogen cyanide.
Cyanide poisoning treatment
Includes removal from toxic environment and oxygen therapy.
Cyanide’s effect on cells
Blocks cytochrome oxidase, preventing oxygen use.
Cyanide poisoning progression
Can lead to death within minutes.
Cyanide poisoning in firefighters
May receive antidotes as a precaution.
Inclusion criteria for cyanide suspicion
Consider in smoke exposure and industrial accidents.
Cyanide antidotes
Administered alongside basic inhalation treatment.
Cyanide Exposure Symptoms
Anxiety, vertigo, weakness, headache, tachypnea, nausea.
High Concentration Effects
Altered consciousness, seizures, respiratory depression, cardiac dysrhythmias.
Rapid Onset Severity
Severity relates to exposure type and may cause collapse.
Patient Management Steps
Remove from toxic environment, assess ABCDs, vital signs.
Pulse Oximetry Limitations
May not correlate with tissue oxygenation in cyanide exposure.
Cardiac Monitoring
Attach monitor to examine rhythm for arrhythmias.
Blood Glucose Check
Essential for assessing patient condition during cyanide exposure.
Cyanide Treatment Initiation
Administer oxygen via non-rebreather mask or CPAP.
Hydroxocobalamin Use
Administered for cyanide poisoning, safe in pregnancy.
Seizure Management
Treat seizures per established guidelines.
PPE for Rescuers
Wear appropriate personal protective equipment during rescue.
Hydrogen Cyanide Generation
Cyanide reacts with stomach acids, produces gas.
Air Circulation Importance
Maximize in closed spaces to prevent gas accumulation.
Nitrites Contraindication
Do not use with suspected carbon monoxide poisoning.
Post-Hydroxocobalamin Effects
Flushing occurs, not an allergic reaction.
Decontamination Steps
Remove contaminated clothing, decontaminate patient rapidly.
Patent Airway Maintenance
Establish and maintain airway for patient safety.
Breathing Status Assessment
Evaluate breathing status for respiratory distress.
Cyanide Blood Test Availability
No rapid confirmatory test widely available.
Patient History Importance
Obtain history including cardiovascular and medication details.
Physical Exam Necessity
Perform to assess overall patient condition.
Monitoring for Hypoxia
Observe for signs despite pulse oximetry readings.
Lactate and Cyanide Levels
Collect pre-treatment blood sample for analysis.
Nonrebreather mask
Delivers high oxygen concentration in emergencies.
Cyanide poisoning
Requires immediate oxygen administration regardless of readings.
ALS
Advanced Life Support for severe medical emergencies.
Caustic substances
Strong acids or alkalis causing chemical burns.
Strong acids
Have extremely low pH, causing immediate burns.
Strong alkalis
Have extremely high pH, causing deeper burns.
Chemical burn
Tissue damage from caustic substance exposure.
Acid ingestion
Burns primarily occur in the stomach.
Alkali ingestion
Burns deeper due to prolonged contact.
Burn duration
Acids burn for approximately seconds; alkalis for minutes to hours.
Signs of caustic poisoning
Includes burns, dysphagia, abdominal pain, and stridor.
Dysphagia
Difficulty swallowing, often seen in caustic poisoning.
Stridor
High-pitched sound indicating airway obstruction.
Dyspnea
Shortness of breath, a symptom of caustic poisoning.
Shock signs
Pale skin, tachycardia, low blood pressure.
Activated charcoal
Ineffective for caustic substance ingestion.
Personal protective equipment
Essential for rescuers during caustic substance management.
Decontamination
Flush contaminated areas with large amounts of water.
Open airway
Critical to manage swelling from burns.
Oropharyngeal airway
Inserted if swelling obstructs airway access.
Maintain oxygen saturation
Aim for 94% or greater during treatment.
Hypoxia
Low oxygen levels in the body.
Hypoxemia
Low oxygen levels in the blood.
Respiratory distress
Signs indicating inadequate breathing or oxygenation.
Hypoxia
Insufficient oxygen in the tissues.
Poor perfusion
Inadequate blood flow to tissues.
Nasal cannula
Device delivering supplemental oxygen through nostrils.
Positive pressure ventilation
Assisted breathing using a mechanical device.
Hydrocarbons
Organic compounds derived from crude oil or plants.
Common hydrocarbon sources
Kerosene, naphtha, turpentine, mineral oil, toluene, benzene.
Hydrocarbon poisoning
Toxic effects from ingestion, inhalation, or absorption.
Viscosity
Resistance of a substance to flow, affecting toxicity.
Signs of hydrocarbon poisoning
Coughing, burns, dyspnea, cyanosis, seizures.
Scene safety
Ensuring a safe environment for patient treatment.
Personal protective equipment
Gear to protect responders from hazardous exposure.
Decontamination
Removing contaminants from the patient’s body.
Open airway
Maintaining an unobstructed passage for breathing.
Nonrebreather mask
Device providing high-concentration oxygen to patients.
Transport patient rapidly
Quickly moving the patient to medical facility.
Methanol
Toxic alcohol found in various household products.