Chapter 22 - Toxicology Emergencies Flashcards
any substance - solid, liquid or gas that impairs heath or causes death by its chemical action when it enters the body or comes in contact with the skin
poison
a drug or substane that is poisonous to a human and will cause certain adverse effects that may potentially lead to death
toxin
S/S history of ingestion swelling of mucosal membranes in the mouth nausea vomiting diarrhea AMS abd pain, tenderness, distention, cramps burns or stains around mouth unusual breath/BO resp distress altered heart rate dilated or constricted pupils warm and dry or cool and moist skin coma seizures
poisoning by ingestion
s/s Hx of inhalation of toxins dyspnea SOB chest pain/tightness cough, stridor, wheezing or crackles hoarseness copious secretions oral or pharyngeal burns dizziness H/A confusion seizures AMS cyanosis resp rate fast/slow N/V paint on lips singed nasal hairs soot in the sputum soot in throat
inhaled poisoning
S/S weakness/lethargy dizziness chills fever N/V euphoria sedation high or low BP pupillary changes needle tracks pain at site of injection dyspnea abnormal vitals possible paralysis swelling/redness at site of injection
toxic injection
S/S
history of exposure to poisonous substance
traces of liquid or powder on the Pt skin
burns
itching and/or irritation
redness
swelling
adsorbed poison
S/S fluid-filled, oozing blisters itching and burning swelling possible pain rash
poisonous plant
from contaminated food and water, or from undercooked food
salmonella
common poisoning from contaminated poultry, milk, and water
campylobacter
severe gastrointestinal poisoning from numerous contaminated foods, undercooked foods, and untreated (contaminated) water
escherichia coli (e.coli)
food poisoning from unhygienic food preparation, associated with foods served cold (such as desserts, custards, and salads
staphylococcus aurenus
S/S H/A tachypnea N/V AMS high pulse ox
CO2 poisoning
early S/S H/A confusion agitation or combative behavior burning sensation in the mouth or throat dyspnea hypertension bradycardia or tachycardia smell of bitter almonds
cyanide poisoning
late S/S seizures coma hypotension PE cardiac dysrhythmias acidosis
or large dose cyanide poisoning
S/S burns to mouth and lips, around face dysphagia (difficulty swallowing, drooling) pain to the lips, mouth, throat abd pain hoarsness or dysphasia (difficulty speaking) stridor dyspnea evidence of shock
caustic poisoning