Envenomation Flashcards

1
Q

what is the most common reaction to hymenoptera sting

A

local reaction, small red patch that burns and itches

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2
Q

generalized reaction of stinging insects

A

red skin, hives, swelling of lips, and tounge, wheezing, abdominal cramps and diarrhea

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3
Q

treatment for stinging insects

A

scrape stinger in a horizontal pattern
was the site
cold compress
oral analgesics as needed
topical steroids possibly
antihistamines

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4
Q

what should you be giving if your patient starts having hives, wheezing, and respiratory difficulty

A

epinephrine
repreated every 5-10 min
Beta agonist
add oral steroids and antihistamines (oth when epi is used)

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5
Q

what is a non infectious ascending paralysis similar to Guillain-Barre syndrome that may occur withing five days after a tick attaches

A

tick paralysis. removal of tick is curative

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6
Q

treatment of tick bites

A

wash soap and water
watch for local infection
treat with doxy

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7
Q

DO NOTS of tick removal

A

petroleum jelly
fingernail polish
alcohol
hot match
gasoline
do not grab rear end
do not twist or jerk

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8
Q

this snake bite causes respiratory paralysis

A

neurotoxic

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9
Q

this snake bite causes tissue destruction

A

cytolytic

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10
Q

what is the rhyme for snake identification

A

red touches black, OK jack. red touches yellow, dead fellow

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11
Q

signs of a non venomous snake

A

oval shaped head
round pupul
no IR pit
double row of subcaudal scales

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12
Q

SX of cytolitic snake bite

A

pain
redness
swelling
extravasion of blood
perioral stining
metallic taste
N/V
hypotension
coagulopathy

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13
Q

Neurotoxic snake bites S/S

A

ptosis
dysphagia
diplopia
respiratory arrest

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14
Q

treatment for snake bites

A

immobilize, keep in neutral position
remove jewelry
NO TQ
irrigate
loose dressing
MEDEVAC

management of respiratory depression and shock

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15
Q

signs and sx of black widow spider bite

A

muscular pain
spasms
rigidity
abdominal pain

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16
Q

treatment for black widow bite

A

pain control and muscle relaxants

17
Q

signs and sx of brown recluse spider

A

local necrosis, hemolytic reactions. bite is painless

18
Q

treatment for brown recluse spider

A

pain managment
consider Abx for fields setting
may require excision of the bite

19
Q

signs and sx of scorpion bite

A

muscle cramps
twitching and jerking
hypertension
convulsions
pulmonary edema

20
Q

treatment of scorpion bite

A

sution oral secretion, airway mngmt, cardaic monitoring, IV opioids, preferably fentanyl