Exam 4 Flashcards
Acamprosate and naltrexone
To reduce Alc cravings
Methadone (methadose, dolophine)
Full opioid agonist
Buprenorphine (subutex)
-used in long term recovery from opioid addiction
Naloxone
-opioid antagonist
-temporary reversal of respiratory depression
CIWA Ar
-tool for nurses to guide in administration of vendors for treatment of symptoms withdrawal from CNS depressants (Ativan, Valium)
-score greater then 15 on three consecutive assessment = alert the service
Superfund
Named by the comprehensive, environmental response, compensation and liability act of 1980 allows the EPA to addressing clean up, hazardous waste sites and compel responsible parties to clean up and reimburse the government for EPA lead cleanups
Exposure pathway
-Exposure to a contaminant from a specific source consists of five parts
-Source of contamination: what it is, and where it originated
-Environmental media and transport mechanisms: ground water, air service, oil, subsurface, oil, sediment in plants and animals
Point of exposure : place of contact, food home playground lake, etc.
Root of exposure : how contaminant enters the body
Receptor population : people likely to be exposed
Bioavailability
The amount of a contaminant, that will actually end up in the systemic circulation
Case-control studies in cluster investigations are
Retrospective identify, then work backward to the exposure
Incident command system
Structured frequently practiced and updated plan
Biologic agents in bioterrorism
-Air or water, borne, inhaled or ingested easy to obtain inexpensive
Anthrax
-spore forming bacillus, naturally in soil (cattle and sheep) ingestion of contaminated meat, respiratory and skin high mortality, inhaled
Botulism
Clostridium botulinum soil, and contaminated meat
-Low mortality
Plague
Yersinia pestis rodents, and their fleas, inhaled spores bite (high mortality)
Small pox
Various virus
-acutely contagious
-WHO declared eliminated in 1981 case reported considered an outbreak
