Chapter 22 Part 2 Flashcards

1
Q

Ciguatera

A

Seafood poisoning from toxins in fish tissues.

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2
Q

Salmonella

A

Bacterial infection from contaminated food or water.

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3
Q

Campylobacter

A

Common poisoning from contaminated poultry and milk.

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4
Q

Escherichia coli (E. coli)

A

Severe gastrointestinal poisoning from contaminated foods.

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5
Q

Staphylococcus aureus

A

Food poisoning from unhygienic food preparation practices.

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6
Q

Symptoms of Food Poisoning

A

Include cramping, nausea, vomiting, and diarrhea.

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7
Q

Severe Allergic Reaction

A

Life-threatening response requiring immediate medical attention.

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8
Q

Reassessment Frequency

A

Regular checks on patient condition during transport.

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9
Q

Flush Contaminated Skin

A

Use large amounts of water for decontamination.

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10
Q

Vomiting Precaution

A

Be alert for airway compromise due to vomiting.

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11
Q

Advanced Life Support

A

Higher level of medical care for deteriorating patients.

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12
Q

Transport Protocol

A

Follow guidelines for safe patient transport.

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13
Q

Signs of Poisoning

A

Varied symptoms, often delayed after toxin exposure.

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14
Q

Carbon Monoxide (CO)

A

Colorless, odorless gas from incomplete combustion.

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15
Q

Food Poisoning Symptoms

A

Increased temperature, blood disorders, muscle issues.

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16
Q

Emergency Medical Care

A

Do not give anything by mouth; transport immediately.

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17
Q

Leading Cause of Death

A

Carbon monoxide poisoning is a major cause.

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18
Q

Sources of CO

A

Includes furnaces, vehicle exhaust, and tobacco smoke.

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19
Q

Initial Symptoms

A

Flu-like symptoms without fever or body aches.

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20
Q

Tachypnea

A

Rapid respiratory rate indicating potential distress.

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21
Q

Altered Mental Status

A

Confusion early, unresponsiveness late in poisoning.

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22
Q

Pulse Oximeter Reading

A

High readings can be misleading in CO poisoning.

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23
Q

Hypoxia

A

Condition where cells lack adequate oxygen.

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24
Q

Signs of Severe Poisoning

A

Temporary blindness, hearing loss, convulsions, coma.

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25
Q

False Recovery Signs

A

Awakening does not indicate resolution of poisoning.

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26
Q

Carbon Monoxide Displacement

A

CO replaces oxygen on hemoglobin in blood.

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27
Q

Emergency Care Steps

A

Maintain airway and assess breathing status.

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28
Q

Enclosed Space Danger

A

Increased risk of CO poisoning in confined areas.

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29
Q

Common CO Sources

A

Includes grills, stoves, and faulty heaters.

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30
Q

Symptoms Shared by Others

A

Consider CO poisoning if multiple people affected.

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31
Q

Time to Death

A

Can occur within minutes from CO exposure.

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32
Q

Chronic Exposure Risks

A

Long-term exposure can lead to severe complications.

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33
Q

Medical Care Requirement

A

All CO poisoning cases need immediate medical attention.

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34
Q

Carbon Monoxide Color Change

A

Turns hemoglobin bright red, affecting oximeter readings.

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35
Q

Suicide Method

A

Automobile exhaust is a common method due to CO.

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36
Q

Transport Guidelines

A

Move patients to open air, away from CO sources.

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37
Q

Nonrebreather mask

A

Delivers high oxygen concentration regardless of readings.

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38
Q

Carboxyhemoglobin half-life

A

Decreases significantly with high oxygen therapy.

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39
Q

Pulse oximeter

A

Not reliable for guiding oxygen therapy.

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40
Q

CO-oximeter

A

Measures carbon monoxide levels in blood.

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41
Q

Positive pressure ventilation

A

Used when respiratory rate or tidal volume is inadequate.

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42
Q

Cyanide

A

A poison that interferes with cellular oxygen use.

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43
Q

Cyanide exposure routes

A

Inhalation, absorption, injection, and ingestion.

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44
Q

Common cyanide sources

A

Household products, rodent poisons, and cherry pits.

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45
Q

Incomplete combustion

A

Produces cyanide from burning plastics and carpets.

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46
Q

Cyanide poisoning hypoxia

A

Oxygen delivery occurs, but usage is impaired.

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47
Q

Early signs of cyanide poisoning

A

Headache, confusion, agitation, and dyspnea.

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48
Q

Bitter almond smell

A

Characteristic odor of cyanide, not detectable by all.

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49
Q

Late signs of cyanide poisoning

A

Seizures, coma, hypotension, and cardiac arrest.

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50
Q

Emergency care for cyanide poisoning

A

Scene safety and personal protection are essential.

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51
Q

Self-contained breathing apparatus

A

Used to protect rescuers from toxic environments.

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52
Q

Patient care goals

A

Ensure ventilation, oxygenation, and correct hypoperfusion.

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53
Q

Cyanide as a blood agent

A

Also known as hydrogen cyanide.

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54
Q

Cyanide poisoning treatment

A

Includes removal from toxic environment and oxygen therapy.

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55
Q

Cyanide’s effect on cells

A

Blocks cytochrome oxidase, preventing oxygen use.

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56
Q

Cyanide poisoning progression

A

Can lead to death within minutes.

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57
Q

Cyanide poisoning in firefighters

A

May receive antidotes as a precaution.

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58
Q

Inclusion criteria for cyanide suspicion

A

Consider in smoke exposure and industrial accidents.

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59
Q

Cyanide antidotes

A

Administered alongside basic inhalation treatment.

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60
Q

Cyanide Exposure Symptoms

A

Anxiety, vertigo, weakness, headache, tachypnea, nausea.

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61
Q

High Concentration Effects

A

Altered consciousness, seizures, respiratory depression, cardiac dysrhythmias.

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62
Q

Rapid Onset Severity

A

Severity relates to exposure type and may cause collapse.

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63
Q

Patient Management Steps

A

Remove from toxic environment, assess ABCDs, vital signs.

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64
Q

Pulse Oximetry Limitations

A

May not correlate with tissue oxygenation in cyanide exposure.

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65
Q

Cardiac Monitoring

A

Attach monitor to examine rhythm for arrhythmias.

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66
Q

Blood Glucose Check

A

Essential for assessing patient condition during cyanide exposure.

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67
Q

Cyanide Treatment Initiation

A

Administer oxygen via non-rebreather mask or CPAP.

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68
Q

Hydroxocobalamin Use

A

Administered for cyanide poisoning, safe in pregnancy.

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69
Q

Seizure Management

A

Treat seizures per established guidelines.

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70
Q

PPE for Rescuers

A

Wear appropriate personal protective equipment during rescue.

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71
Q

Hydrogen Cyanide Generation

A

Cyanide reacts with stomach acids, produces gas.

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72
Q

Air Circulation Importance

A

Maximize in closed spaces to prevent gas accumulation.

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73
Q

Nitrites Contraindication

A

Do not use with suspected carbon monoxide poisoning.

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74
Q

Post-Hydroxocobalamin Effects

A

Flushing occurs, not an allergic reaction.

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75
Q

Decontamination Steps

A

Remove contaminated clothing, decontaminate patient rapidly.

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76
Q

Patent Airway Maintenance

A

Establish and maintain airway for patient safety.

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77
Q

Breathing Status Assessment

A

Evaluate breathing status for respiratory distress.

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78
Q

Cyanide Blood Test Availability

A

No rapid confirmatory test widely available.

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79
Q

Patient History Importance

A

Obtain history including cardiovascular and medication details.

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80
Q

Physical Exam Necessity

A

Perform to assess overall patient condition.

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81
Q

Monitoring for Hypoxia

A

Observe for signs despite pulse oximetry readings.

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82
Q

Lactate and Cyanide Levels

A

Collect pre-treatment blood sample for analysis.

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83
Q

Nonrebreather mask

A

Delivers high oxygen concentration in emergencies.

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84
Q

Cyanide poisoning

A

Requires immediate oxygen administration regardless of readings.

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85
Q

ALS

A

Advanced Life Support for severe medical emergencies.

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86
Q

Caustic substances

A

Strong acids or alkalis causing chemical burns.

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87
Q

Strong acids

A

Have extremely low pH, causing immediate burns.

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88
Q

Strong alkalis

A

Have extremely high pH, causing deeper burns.

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89
Q

Chemical burn

A

Tissue damage from caustic substance exposure.

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90
Q

Acid ingestion

A

Burns primarily occur in the stomach.

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91
Q

Alkali ingestion

A

Burns deeper due to prolonged contact.

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92
Q

Burn duration

A

Acids burn for approximately seconds; alkalis for minutes to hours.

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93
Q

Signs of caustic poisoning

A

Includes burns, dysphagia, abdominal pain, and stridor.

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94
Q

Dysphagia

A

Difficulty swallowing, often seen in caustic poisoning.

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95
Q

Stridor

A

High-pitched sound indicating airway obstruction.

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96
Q

Dyspnea

A

Shortness of breath, a symptom of caustic poisoning.

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97
Q

Shock signs

A

Pale skin, tachycardia, low blood pressure.

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98
Q

Activated charcoal

A

Ineffective for caustic substance ingestion.

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99
Q

Personal protective equipment

A

Essential for rescuers during caustic substance management.

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100
Q

Decontamination

A

Flush contaminated areas with large amounts of water.

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101
Q

Open airway

A

Critical to manage swelling from burns.

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102
Q

Oropharyngeal airway

A

Inserted if swelling obstructs airway access.

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103
Q

Maintain oxygen saturation

A

Aim for 94% or greater during treatment.

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104
Q

Hypoxia

A

Low oxygen levels in the body.

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105
Q

Hypoxemia

A

Low oxygen levels in the blood.

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106
Q

Respiratory distress

A

Signs indicating inadequate breathing or oxygenation.

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107
Q

Hypoxia

A

Insufficient oxygen in the tissues.

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108
Q

Poor perfusion

A

Inadequate blood flow to tissues.

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109
Q

Nasal cannula

A

Device delivering supplemental oxygen through nostrils.

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110
Q

Positive pressure ventilation

A

Assisted breathing using a mechanical device.

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111
Q

Hydrocarbons

A

Organic compounds derived from crude oil or plants.

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112
Q

Common hydrocarbon sources

A

Kerosene, naphtha, turpentine, mineral oil, toluene, benzene.

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113
Q

Hydrocarbon poisoning

A

Toxic effects from ingestion, inhalation, or absorption.

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114
Q

Viscosity

A

Resistance of a substance to flow, affecting toxicity.

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115
Q

Signs of hydrocarbon poisoning

A

Coughing, burns, dyspnea, cyanosis, seizures.

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116
Q

Scene safety

A

Ensuring a safe environment for patient treatment.

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117
Q

Personal protective equipment

A

Gear to protect responders from hazardous exposure.

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118
Q

Decontamination

A

Removing contaminants from the patient’s body.

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119
Q

Open airway

A

Maintaining an unobstructed passage for breathing.

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120
Q

Nonrebreather mask

A

Device providing high-concentration oxygen to patients.

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121
Q

Transport patient rapidly

A

Quickly moving the patient to medical facility.

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122
Q

Methanol

A

Toxic alcohol found in various household products.

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123
Q

Ingestion of methanol

A

Can lead to severe metabolic acidosis.

124
Q

Blindness from methanol

A

Can occur from ingesting as little as 30-240 mL.

125
Q

Central nervous system symptoms

A

Signs affecting brain function, e.g., headache, coma.

126
Q

Gastrointestinal symptoms

A

Nausea, vomiting, abdominal pain related to poisoning.

127
Q

Altered mental status

A

Confusion or unresponsiveness in patients.

128
Q

Seizures

A

Uncontrolled electrical disturbances in the brain.

129
Q

Nausea and vomiting

A

Feeling sick and expelling stomach contents.

130
Q

Abdominal pain

A

Discomfort or pain in the stomach area.

131
Q

Blurred vision

A

Reduced clarity of sight.

132
Q

Dilated pupils

A

Enlarged pupils that respond slowly to light.

133
Q

Visual changes

A

Seeing spots or distortions in vision.

134
Q

Blindness

A

Loss of vision, either temporary or permanent.

135
Q

Dyspnea

A

Difficulty or labored breathing.

136
Q

Tachypnea

A

Abnormally rapid breathing rate.

137
Q

Emergency medical care

A

Supportive treatment for methanol poisoning.

138
Q

Ethyl alcohol

A

Drinking alcohol that prevents methanol conversion.

139
Q

Fomepizole

A

Antidote for methanol poisoning.

140
Q

Open airway

A

Ensuring unobstructed breathing passage.

141
Q

Positive pressure ventilation

A

Assisted breathing to improve oxygen delivery.

142
Q

Oxygen administration

A

Providing supplemental oxygen via nasal cannula.

143
Q

Isopropanol

A

Common rubbing alcohol, toxic when ingested.

144
Q

Acetone

A

Metabolite of isopropyl alcohol affecting the CNS.

145
Q

Respiratory depression

A

Decreased respiratory rate and effort.

146
Q

Hematemeis

A

Vomiting blood due to gastrointestinal issues.

147
Q

Ethylene glycol

A

Toxic substance found in antifreeze and detergents.

148
Q

Signs of shock

A

Symptoms indicating inadequate blood flow.

149
Q

Three stages of poisoning

A

Progressive symptoms of ethylene glycol toxicity.

150
Q

First Stage

A

Neurological effects after ingestion of ethylene glycol.

151
Q

Second Stage

A

Cardiopulmonary effects following ethylene glycol ingestion.

152
Q

Third Stage

A

Renal effects occurring after ethylene glycol ingestion.

153
Q

Neurological Symptoms

A

Signs include uncoordinated movements and slurred speech.

154
Q

Altered Mental Status

A

Confusion or disorientation after ethylene glycol ingestion.

155
Q

Nausea and Vomiting

A

Common symptoms in the first stage of poisoning.

156
Q

Seizures

A

Possible neurological symptom of ethylene glycol toxicity.

157
Q

Hallucinations

A

Altered perceptions occurring in the first stage.

158
Q

Tachypnea

A

Increased respiratory rate in second stage poisoning.

159
Q

Pulmonary Edema

A

Crackles upon auscultation indicating fluid in lungs.

160
Q

Cyanosis

A

Bluish discoloration due to lack of oxygen.

161
Q

Dyspnea

A

Difficulty breathing associated with cardiopulmonary effects.

162
Q

Respiratory Distress

A

Inadequate breathing requiring immediate medical intervention.

163
Q

Heart Failure

A

Potential outcome in the second stage of poisoning.

164
Q

Oliguria

A

Production of little urine following renal stage.

165
Q

Anuria

A

Absence of urine production in severe cases.

166
Q

Hematuria

A

Presence of blood in urine during renal stage.

167
Q

Emergency Medical Care

A

Supportive treatment for ethylene glycol poisoning.

168
Q

Open Airway

A

First step in emergency care for poisoning.

169
Q

Positive Pressure Ventilation

A

Technique for inadequate breathing support.

170
Q

Urushiol

A

Toxic element causing reactions from poison ivy.

171
Q

Poison Ivy

A

Common plant causing allergic skin reactions.

172
Q

Suicide Bags

A

Plastic bags used for euthanasia via gas inhalation.

173
Q

Helium

A

Inert gas used in suffocation method.

174
Q

Nitrogen

A

Inert gas causing asphyxiation when inhaled.

175
Q

Hypoxia

A

Condition of insufficient oxygen in the body.

176
Q

Hypercarbia

A

Excess carbon dioxide in the bloodstream.

177
Q

Chemical Suicide

A

Suicide method using toxic household chemicals.

178
Q

Hydrogen Sulfide

A

Deadly gas produced from mixing acid and detergent.

179
Q

Asphyxiation

A

Suffocation caused by lack of oxygen.

180
Q

Toxic Environment

A

Area with harmful gas concentrations.

181
Q

Emergency Responders

A

Personnel responding to hazardous situations.

182
Q

Mass Casualty Incident

A

Event causing multiple victims needing urgent care.

183
Q

Decontamination

A

Process of removing toxic substances from a patient.

184
Q

Nonrebreather Mask

A

Device providing high concentration oxygen to patients.

185
Q

Poison Control Centers

A

Facilities assisting in poison treatment and management.

186
Q

Pre-arrival Notification

A

Alerting medical facility about incoming contaminated patient.

187
Q

Airtight Seal

A

Sealing method to contain toxic gas within an area.

188
Q

Toxic Fumes

A

Harmful gases that can cause health hazards.

189
Q

Detergent Bottle

A

Container for cleaning agent used in chemical suicide.

190
Q

Acid Bottle

A

Container for corrosive substance used in chemical suicide.

191
Q

Mixing Device

A

Tool used to combine chemicals for toxic gas.

192
Q

Patient Transport

A

Moving a patient to a medical facility.

193
Q

Oxygenation

A

Process of providing oxygen to the body.

194
Q

Positive Pressure Ventilation

A

Technique to assist inadequate breathing.

195
Q

Clothing Decontamination

A

Removing contaminated clothing to prevent exposure.

196
Q

Poison Control Centers

A

Toll-free centers assisting with poison emergencies.

197
Q

Toxicologists

A

Experts providing guidance on poison treatment.

198
Q

Follow-up Calls

A

Monitoring patient progress post-poison exposure.

199
Q

Drug Abuse

A

Self-administration of drugs outside approved patterns.

200
Q

Overdose

A

Emergency caused by excessive drug or alcohol intake.

201
Q

Withdrawal

A

Abstinence period from accustomed drugs or alcohol.

202
Q

CNS Depressant

A

Substances that lower central nervous system activity.

203
Q

Respiratory Depression

A

Decreased breathing rate or effort.

204
Q

Altered Mental Status

A

Changes in awareness or cognitive function.

205
Q

Hyperthermia

A

Abnormally high body temperature.

206
Q

Hypothermia

A

Abnormally low body temperature.

207
Q

Stimulants

A

Drugs that increase heart rate and blood pressure.

208
Q

Depressants

A

Drugs that decrease heart rate and mental alertness.

209
Q

Amphetamines

A

Stimulants causing increased alertness and mood elevation.

210
Q

Cocaine

A

Stimulant causing euphoria and increased heart rate.

211
Q

Methamphetamine

A

Powerful stimulant with severe cardiac risks.

212
Q

Nicotine

A

Stimulant found in tobacco products.

213
Q

Seizures

A

Sudden, uncontrolled electrical disturbances in the brain.

214
Q

Cardiac Arrest

A

Sudden loss of heart function.

215
Q

Drug Interaction

A

Effects from combining different drugs, potentially dangerous.

216
Q

Emergency Goals

A

Identify and treat vital function impairments.

217
Q

Treatment Options

A

Strategies for managing poison exposure and overdose.

218
Q

Patient Assessment

A

Evaluating age, weight, and symptoms for treatment.

219
Q

Cocaine Overdose

A

Causes excitement, euphoria, and rapid respiration.

220
Q

Cocaine Withdrawal

A

Leads to apathy, sleep, irritability, and depression.

221
Q

Cannabis Effects

A

Moderate dosages cause euphoria and increased appetite.

222
Q

THC

A

Active compound in cannabis causing psychoactive effects.

223
Q

Synthetic Cannabinoids

A

Man-made chemicals mimicking THC effects.

224
Q

Cannabis Overdose

A

Can cause fatigue, paranoia, and possible psychosis.

225
Q

Depressants

A

Substances that reduce neural activity and bodily functions.

226
Q

Opiates

A

Natural or synthetic drugs derived from opium.

227
Q

Heroin Effects

A

Causes euphoria, drowsiness, and respiratory depression.

228
Q

Fentanyl

A

Powerful synthetic opioid, high overdose risk.

229
Q

Alcohol

A

CNS depressant causing altered mental status.

230
Q

Barbiturates

A

Sedatives that can cause CNS depression.

231
Q

Benzodiazepines

A

Medications for anxiety, can cause sedation.

232
Q

Hallucinogens

A

Psychedelic drugs causing altered perceptions.

233
Q

LSD Effects

A

Causes hallucinations and altered time perception.

234
Q

PCP

A

Causes violent behavior and possible paralysis.

235
Q

Inhalants

A

Substances causing euphoria and loss of inhibitions.

236
Q

Sudden Sniffing Death

A

Fatal phenomenon from inhalant use.

237
Q

Withdrawal Symptoms

A

Can include insomnia, irritability, and depression.

238
Q

Needle Tracks

A

Visible signs of repeated intravenous drug use.

239
Q

Overdose Symptoms

A

Include respiratory failure and possible death.

240
Q

CNS Depression

A

Slowed brain activity leading to unresponsiveness.

241
Q

Flashbacks

A

Re-experiencing drug effects long after use.

242
Q

Alcohol Absorption

A

Alcohol is quickly distributed to body tissues.

243
Q

Alcohol Concentration

A

Alcohol is concentrated in blood and brain.

244
Q

Alcohol Abuse Illnesses

A

Includes cirrhosis and peritonitis.

245
Q

Alcohol Intoxication Risks

A

Major cause of automobile crashes.

246
Q

Alcohol Ingestion Effects

A

Contributes to overdoses, homicides, and trauma.

247
Q

Assessment-Based Approach

A

Evaluate and treat drug or alcohol emergencies.

248
Q

Scene Size-Up

A

Ensure scene safety before approaching patient.

249
Q

Police Backup

A

Call early for potential violence situations.

250
Q

Meth Labs

A

Hazardous materials scene for EMTs.

251
Q

Behavior Change Risks

A

Rapid changes can lead to violence.

252
Q

Needle Precautions

A

Avoid contact with drug abuser’s needles.

253
Q

Standard Precautions

A

Protect against bloodborne and airborne diseases.

254
Q

Mechanism of Injury

A

Identify potential causes of patient injury.

255
Q

Mimicking Conditions

A

Drug emergencies can resemble stroke or hypoglycemia.

256
Q

Evidence of Use

A

Look for pills, syringes, or liquor bottles.

257
Q

Medical ID Tags

A

Provide information on chronic conditions.

258
Q

General Impression

A

Form initial assessment of the patient’s condition.

259
Q

Life Threats

A

Check for gunshot wounds or major bleeding.

260
Q

Altered Mental Status

A

Varies from excitability to unresponsiveness.

261
Q

Airway Inspection

A

Check for blockages from secretions or vomitus.

262
Q

CNS Depressants

A

Can cause inadequate breathing in patients.

263
Q

Positive Pressure Ventilation

A

Used if breathing is slow or absent.

264
Q

Oxygen Administration

A

Based on patient signs and symptoms.

265
Q

Nasal cannula

A

Device for delivering supplemental oxygen.

266
Q

Radial pulse

A

Pulse felt at the wrist, indicates circulation.

267
Q

CNS depressants

A

Substances that reduce central nervous system activity.

268
Q

CNS stimulants

A

Substances that increase central nervous system activity.

269
Q

Cool, clammy skin

A

Skin condition indicating poor perfusion and hypotension.

270
Q

Alcohol odor

A

Scent indicating possible alcohol abuse.

271
Q

Fruity odor

A

Scent indicating potential diabetic emergency.

272
Q

Altered mental status

A

Change in awareness or cognitive function.

273
Q

Vital signs variability

A

Changes in physiological measurements based on drug type.

274
Q

Unresponsiveness

A

Inability to awaken from deep sleep or coma.

275
Q

Respiratory difficulties

A

Weak or noisy breathing patterns.

276
Q

Cyanosis

A

Bluish skin indicating low oxygen levels.

277
Q

Fever

A

Temperature above 100°F or 38°C.

278
Q

Tachycardia

A

Abnormally fast heart rate.

279
Q

Bradycardia

A

Abnormally slow heart rate.

280
Q

Vomiting with altered mental status

A

Risk of airway occlusion or aspiration.

281
Q

Seizures

A

Muscle spasms indicating neurological distress.

282
Q

Dilated pupils

A

Common sign of CNS stimulant use.

283
Q

Pinpoint pupils

A

Common sign of narcotic use.

284
Q

Huffers

A

Individuals inhaling substances for psychoactive effects.

285
Q

Huffers

A

Patients inhaling substances to achieve euphoria.

286
Q

Alveolar membrane

A

Site where gases exchange in lungs.

287
Q

Hallucinogens

A

Substances causing altered perceptions and sensations.

288
Q

Jugular venous distention

A

Swelling of neck veins indicating heart failure.

289
Q

Auscultate

A

Listen to internal sounds using a stethoscope.

290
Q

Euphoric feeling

A

Intense happiness from inhaled substances.

291
Q

Hypoxia

A

Deficiency of oxygen in the body.

292
Q

Narcotics

A

Drugs that relieve pain and induce relaxation.

293
Q

Peripheral pulses

A

Blood flow indicators in limbs.

294
Q

Cool, clammy skin

A

Sign of narcotic drug abuse.

295
Q

Needle tracks

A

Marks indicating intravenous drug use.

296
Q

Vital signs

A

Measurements of heart rate, blood pressure, etc.

297
Q

CNS depressants

A

Substances that slow down brain activity.

298
Q

CNS stimulants

A

Substances that increase brain activity.

299
Q

Flushed skin

A

Redness indicating possible drug reaction.

300
Q

Cyanotic skin

A

Bluish discoloration due to low oxygen.

301
Q

Temperature variations

A

Can indicate type of substance abused.

302
Q

Medical alert tags

A

Identification for patients with health conditions.

303
Q

Unreliable history

A

Patient’s account may be distorted or false.

304
Q

Multiple substance abuse

A

Using more than one drug simultaneously.

305
Q

Physical exam

A

Assessment of patient’s physical condition.