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Med > NCMB 418 (CU 15) > Flashcards

NCMB 418 (CU 15) Flashcards

1
Q

old French word “trier” means

A

to sort

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2
Q

Used in:
* hospital emergency rooms
* on battlefields
* disaster sites when limited medical resources must be allocated

A

Triage

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3
Q

number of victims is < 100

A

Multiple

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4
Q

number of victims is > 100; MCI

A

Mass

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5
Q

immediately affected by the event

A

Direct Victim

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6
Q

family member or friend of the victim or a first responder

A

Indirect Victim

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7
Q

evacuees of the disaster

A

Displaced

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8
Q

a group of people who have fled their home or even their country as a result of famine,
drought, natural disaster, war or civil unrest

A

Refugees

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9
Q

Starts the process by clearing
the ‘walking wounded’ using
verbal instructions

A

MASS

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10
Q

M -
A -
S -
S -

A
  • Move
  • Assess
  • Sort
  • Send
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11
Q

S
A
L
T

A

*Sort
*Assess
*Life-threatening intervention(s)
*Treat and Transport

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12
Q

minor - “walking wounded”

A

Green

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13
Q

expectant (deceased)

A

Black

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14
Q

client needs immediate treatment within the hour but has a chance of survival

A

Red

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15
Q

client not in immediate danger; treatment may be delayed for an hour

A

Yellow

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16
Q

Immediate
Delayed
Minimal
Expectant

A

Immediate = red
Delayed = yellow
Minimal = green
Expectant = black

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17
Q
  • Identification of patients who should not wait to be seen
  • Prioritization of incoming patients
A

Emergency Department Triage

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18
Q

life- or limb-threatening

A

Severity

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19
Q

immediate treatment is needed to alleviate symptoms

A

Acuity

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20
Q

A -
B -
C -
D -

A

A – Requires immediate LSI
B – high risk situation
C – number of resources needed
D – danger zone

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21
Q

high risk instability criteria

A

ESI level 1 or 2

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22
Q

evaluates expected resource needs

A

ESI level 3, 4, or 5

23
Q
  • failure of the heat regulating mechanisms of the body
  • body’s temperature rises rapidly, the sweating mechanism fails, and the body is unable to cool down
A

Heat Stroke

24
Q

Assessment of heat stroke

A
  • CNS dysfunction
  • Headache, dizziness, nausea, vomiting and confusion
  • Elevated body temperature
  • Hot, dry skin; and usually anhidrosis
  • Tachypnea, hypotension, and tachycardia
25
Q

mgt for heat stroke

A
  • Stabilizing oxygenation
  • Remove patient’s clothing
  • Ice applied to the neck, groin, chest,
26
Q
  • Survival for at least 24 hours after submersion into liquid (usually
    water)
A

Near-Drowning

27
Q

mgt of drowning

A
  • Immediate CPR
  • Ensure an adequate airway and oxygenation
  • ET intubation
  • Rectal probe
  • ECG monitoring
  • Indwelling urinary catheter
  • NGT
28
Q

is any substance when ingested, inhaled, absorbed,
applied to the skin, or produced within the body in relatively small
amounts, injures the body by its chemical action

A

Poisoning

29
Q

Stinging Insects: Management

A
  • Stinger removal
  • Wound care with soap and water
  • Ice application
  • Oral antihistamine and analgesic
  • Epinephrine
  • Desensitization therapy
30
Q

Cause swelling and tissue damage wherever you’ve been bitten

A

Cytotoxins

31
Q

Disrupt the blood vessels.

A

Haemorrhagins

32
Q

Prevent the blood from clotting

A

Anti-clotting agents

33
Q

Cause paralysis or other damage to the nervous system.

A

Neurotoxins

34
Q

Break down muscles

A

Myotoxins

35
Q

not applied as initial first aid at the site of the snake

A

ice or a tourniquet

36
Q

med for snake bite

A
  • Corticosteroids (contra. in first 6-8 hours)
  • Parenteral fluids
  • Vasopressors
  • Antivenin (antitoxin)
37
Q

Most effective if administered within 12 hours after the snake bite.

A

Antivenin

38
Q

antivenin is premedicate with

A

diphenhydramine and cimetidine

39
Q

Before administering antivenin and every 15 minutes thereafter, the circumference of the affected part is measured proximally.

A

true

40
Q

The most common cause of allergic reaction to the antivenin is

A

too-rapid infusion

41
Q

Corrosive poisons include alkaline and acid agents that can cause tissue destruction after coming in contact with mucous membranes

A

Ingested (Swallowed) Poisons

42
Q
  • Iye, drain cleaners, toilet bowl cleaners, bleach, non-phosphate
    detergents, oven cleaners, and button-shaped batteries
A

Alkaline agents

43
Q

toilet bowl cleaners, pool cleaners, metal cleaners, rust removers, battery
acid.

A

Acid products:

44
Q
  • to induce vomiting in the alert patient
A

Syrup of ipecac

45
Q

for the obtunded patient Gastric aspirate is saved and sent to the laboratory for testing (toxicology screens)

A

Gastric lavage

46
Q

if poison is one that is absorbed by charcoal

A

Activated charcoal administration

47
Q

is never induced after ingestion of caustic substances or petroleum distillates

A

vomiting

48
Q

a sudden illness that occurs after ingestion
of contaminated food or drink

A

FOOD POISONING

49
Q

is a serious form of food poisoning that requires
continual surveillance.

A

Botulism

50
Q

– take sips of weak tea, carbonated drinks, or tap water

A

Mild nausea

51
Q

diet for food poisoning

A

low-residue, bland diet

52
Q
  • may occur as a result of industrial or household incidents or attempted suicide
  • exerts its toxic effect by binding to circulating hemoglobin and thereby reducing the oxygen-carrying capacity of the blood
A

CARBON MONOXIDE POISONING

53
Q

mgt for carbon monoxide poisoning

A

o Expose to fresh air immediately
o Loosen all tight clothing
o Initiate CPR
o Prevent chilling
o Oxygenation

54
Q

the amount and duration of exposure of the skin to the
chemical.

A

Skin Contamination / Poisoning (CHEMICAL
BURNS)

Med (37 decks)

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