Mod 5 Chapter 21-22 Flashcards
Symptoms of specific overdose of
Opiates, & Opioids??
Hypo ventilation, Pinpoint pupils, sedation or coma, Hypotension
Sympathomimetics signs & symptoms??
Hypertension, Tachycardia, Dilated pupils, Hyperthermia.
Sedative-hypnotics signs and symptoms??
Slurred speech, sedation or coma, Hypoventilation, Hypotension.
Anticholinergics signs and symptoms??
Tachycardia, Hyperthermia, Hypertension, Dilated pupils, dry skin & mucous membranes, Sedation
Cholinergics signs & symptoms??
Airway compromise, SLUDGEM
Epinephrine has various properties which causes??
The Blood vessels to constrict, which verse vasodilation Andy hypertension.
Epinephrine increases cardiac contractility and relieve bronchospasm in where??
The Lungs
An adult does of EpiPen delivers how much??
0.3mg
A does of an EpiPen for a infant-child delivers how much??
0.15mg
Signs and symptoms for an allergic reaction for a Respiratory System??
Sneezing or itchy, running nose, shortness of breath, tightness in the chest or throat, irritating, dry cough, Hoarseness, rapid, labored or noisy respirations, wheezing or stridor.
Signs and symptoms of Allergic Reactions of cardiovascular system??
Increase pulse rate, Red flushed, hot skin, Decreased in blood pressure.
Signs and symptoms of allergic reactions for Skin??
Flushing, itching skin, burning skin, urticaria over large areas of the body, swelling of the face neck hands tongue, cyanosis around the lips, warm, tingling, in the face of mouth.
Epinephrine indications??
Severe allergic reaction causing airway or circulatory compromise.
Epinephrine contraindications??
None in a life-threatening emergency.
Epinephrine Actions??
Vasoconstriction and increased cardiac contractility, bronchodilation.
Epinephrine actions??
Tachycardia, sweating, pale, skin, dizziness, headaches, palpitations.
What are Common Allergens
Food, Medication, plants, chemicals, insect bites and stings.
What is an extreme allergic reaction that is life threatening and involves multiple organ’s systems??
Anaphylaxis
The two most common signs of anaphylaxis are widespread??
Urticaria or Hives
What two chemicals that contribute to an allergic reaction??
Histamines & leukotrienes
The four routes to consider for poisoning??
Inhalation,
Absorption,
Ingestion,
Injection.
Inhaled poison include??
Natural gas, sewer gas, certain pesticides, carbon monoxide, & Chlorine.
A 50-year-old male was stung by a honeybee approximately 15 minutes ago.
He presents with respiratory distress, facial swelling, and hypotension. After placing him on oxygen and administering his epinephrine via auto-injector, you note that his breathing has improved. Additionally, his facial swelling is resolving and his blood pressure is stable. Your next action you should.
Record time of dose of the injection and transport promptly
A 37-year-old male is having a severe allergic reaction to penicillin. He does not have an epinephrine auto-injector, and your protocols do not allow you to carry epinephrine on the ambulance. How should you proceed with the treatment of the patient.
Administer oxygen, transport at once and request a paramedic interception.
A 4-year-old, 15-kg male ingested an unknown quantity of acetaminophen (Tylenol). The child’s mother states that she does not know when the ingestion occurred. The child is conscious and alert and in no apparent distress. The EMT should:
Administer 15 gs of activated charcoal
A 25-year-old man overdosed on heroin and is unresponsive. His breathing is slow and shallow and he is bradycardic. He has track marks on both arms. The EMT should:
Insert a nasal airway and ventilate with a bag-mask device
Activated charcoal is given to patients who have ingested certain substances because it:
Binds to the substance and prevents absorption
A person who routinely misuses a substance and requires increasing amounts to achieve the same effect is experiencing:
Tolerance
Side effects of epipen are??
Anxiety, tachycardia
True or false. Rapid breathing, nausea and vomiting, ringing in the ears, and hyperthermia can be an indication of aspirin overdose?
True
anaphylaxis MOST often causes??
Urticaria
True or false. Wheal: Swelling of the surface of the skin into red- or skin-colored welts due to sting/bite
True
True or false. Rohypnol= Ruffies
True
True or false. Activated charcoal may induce vomiting
True
Aspirin dose
324 mg
Nitroglycerin dose
0.4 mg max of 3
