Environment

Question 1

Hyopthermia mild sx?35-32

Answer 1

shivering and cold diuresis

Question 2

mod hypothermia sx? 32-28

Answer 2

CNS depression, arrythmia, lack of shivering

Question 3

sev hypothermia sx? 28-24

Answer 3

hypotesnion, oliguria, coma

Question 4

profound hypothermia<24 sx?

Answer 4

absence of vital signs

Question 5

normal CO hgb levels? smoker?

Answer 5

<3%/10-15%

Question 6

sx of CO poisoning?

Answer 6

dec sat, cherry red blood, NV, HA, CNS

Question 7

CO inhibits what biochemically?

Answer 7

oxidative phosphorylation, causing mitochondrial issues

Question 8

tx for CO poisoning?

Answer 8

100% hig flow

Question 9

when to do hyperbaric for CO poisoning?

Answer 9

level >25%

Question 10

causes of cyanide poisoning?

Answer 10

fire, rubber plastics, electroplating, nitroprusside

Question 11

mechanism of cyanide poisoning?

Answer 11

binds Fe, prevents oxidative phosphorylation

Question 12

cyanide tx?

Answer 12

hydroxycobalamin, induce methemoglobinemia with sodium nitrite, sulfur donor with sodium thiosulfte

Question 13

Heat stroke tx for young??

Answer 13

think about cold water immersion

Question 14

heat stroke for older?

Answer 14

evaporative cooling, parenternal cold fluids

Question 15

anaphylaxis type 1 hypersensitivity sx? tx?

Answer 15

bronchospasm, urticaria, angioedema/epi and antihistamines

Question 16

type II hypersensitivity Ig mediated? sx? tx?

Answer 16

IgG/cytopenias/steroids

Question 17

OP poisoning leades to increase in what?

Answer 17

cholinergic sx, inc Ach

Question 18

OP decomntamination?

Answer 18

HCW get pyridostigmine, hood and everything

Question 19

tx for OP poisoning?

Answer 19

atropine, pysridostigmine

Question 20

pulmonary edema from inhalation burn is due to what?

Answer 20

capillary leak

Question 21

consequences of rewarming in a hypothermia?

Answer 21

DIC, pulmonary edema, rhabdo, ATN