ER 5 Q

Question 1

Heat exhaustion is strongly related to heat index. Relative humidity of _ or more impairs the body’s ability to cool itself

Answer 1

60%

Question 2

Heat exhaustion results in dehydration and blood accumulates in the skin to attempt to lower body temperature. This

Answer 2

decreases circulation

Question 3

Temperature range for heat exhaustion

Answer 3

99.6-104

Question 4

Water loss _ sodium loss

Answer 4

Exceeds

Question 5

What is the priority for heat exhaustion?

Answer 5

Fluid and electrolyte replacement

Question 6

Failure of the hypothalamic thermoregulatory processes

Answer 6

Heat stroke

Question 7

4 complications of heat stroke

Answer 7

Death, cerebral edema, hemorrhage, circulatory collapse

Note: may also see muscle cramps, seizure precautions, delirium, coma

Question 8

Death in heat stroke is directly related to

Answer 8

Duration of increased temperature

Question 9

What is the core temperature for heat stroke

Answer 9

> 104

Question 10

Initially in heat stroke there is increased sweating and vasodilation but compensation fails and _ stop functioning

Answer 10

Sweat glands

Question 11

2 risk factors for heat stroke

Answer 11

dehydration and high temperatures

Question 12

Meds to control shivering

Answer 12

chlorpromazine, thorazine, valium IV

Question 13

Patient with heat stroke has tea colored urine. What is the likely issue?

Answer 13

AKI

Question 14

With heat stroke, obtain clotting factors to monitor for

Answer 14

DIC

Question 15

Core temp for hypothermia

Answer 15

<95

Question 16

Most body heat is lost from

Answer 16

Head, thorax, lungs

Question 17

Death if temp falls below

Answer 17

78

Question 18

Shivering disappears at

Answer 18

86

Question 19

Patient must be warmed to at least _ before being pronounced dead

Answer 19

90

Question 20

Warm the _ before the extremities to prevent afterdrop

Answer 20

core

Question 21

Rewarming should be d/c when temp reaches

Answer 21

95

Question 22

How long to use PEEP or CPAP after submersion injury

Answer 22

48-72h

Question 23

Which bite is higher infection risk? Dog or cat

Answer 23

Cat

Question 24

Initial treatment for bites includes

Answer 24

irrigation, debridement, tetanus, analgesics

Question 25

Prophylactic antibiotics if the wounds are

Answer 25

over joints, less than 6-12h old, puncture, or on the hands or feet

Question 26

Patients who ingest caustic agents, sharp objects, or ingest nontoxic substances should not receive

Answer 26

lavage

Question 27

Intubate before lavage if there is

Answer 27

Decreased LOC, diminished gag

Question 28

WE GOT THIS

Answer 28

:) :) :) :) :)

Question 29

Contraindications of activated charcoal

Answer 29

diminished bowel sounds, paralytic ileus, ingestion of a substance poorly absorbed by charcoal

Question 30

_ takes priority over everything except BLS

Answer 30

Decontamination

Question 31

Do not use water if mustard gas is present because it creates

Answer 31

Chlorine gas

Question 32

antidote for acetaminophin

Answer 32

acytlcysteine|Mucomist

Question 33

helps with salicylate or phenobarbital toxicity

Answer 33

Sodium bicarb

Question 34

Added to IV fluids to enhance excretion of amphetamines

Answer 34

Vitamin C