Nuclear, bio and chem weapons Flashcards
1
Q
Nuclear weapons- Sx
A
- Prodrome- N/V weakness, fatigue
- Latent
- Symptomatic- Bone marrow supression, neutropenia, bloody diarrhea,
- Severe fluid and lytes imbalances
- Hypotension
- Convulsions, HA, Coma
2
Q
Nuclear weapons- Tx
A
- Clean wounds, tx nausea
- Perform surg early
- Bone marrow growth factors
- Broad spectrum abx
- Decontaminate
3
Q
Anthrax- Eti
A
Bacillus anthraces
- Gram + rod
4
Q
Antrax- Sx
A
- Inhalation- 1-7 day incubation.
- Fever, HA, chills, vomiting, dyspnea,
- 2nd stage: high fever, diaphoresis, cyanosis, lymphadenopathy
- GI: Ulcers, lymphadenopathy, sepsis, N/V
- Cutaneous: Puritic papule to painless black eschar
5
Q
Antrax- Tx
A
- Ciprofloxacin
- Supportive care
6
Q
Plague- Sx
A
- Pneumonic most likely. Severe pulm infection
- Fever, cough, hypoxia, sputum
N/V/ D - Death in 24 hrs
Septicemic- gangrene of extremities - Bubonic- bubo
7
Q
Plague- Tx
A
- Streptomycin or gentamicin
- Droplet precautions
8
Q
Small pox- Sx
A
- Orthopox virus
- 7-17 day incubation
- High fever, malaise, HA, backache
- Delirium
- Rash, extremities, palms, soles, trunk
9
Q
Small pox- Tx
A
- Supportive care, isolation
- Aerosol spread
10
Q
Botulism- Sx
A
12-80 hour incubation
- Flaccid muscle paralysis
- Ptosis, diplopia,
- Dysphagia
- Dysphonia
- Dilated, poorly reactive pupils
- Total paralysis
11
Q
Botulism- Tx
A
- Antitoxin
- Supportive care
12
Q
Nerve agents- Sx
A
- Mood swing, diff concentration, poor judgment
- Coma, convulsion, apnea
- Muscle fasciculations, rhinorrhea, salivation, sweating
- GI and pulm secretions
- Paralysis
- Vomiting, urination, abd pain
13
Q
Nerve agents- Tx
A
- Atropine
- Pralidoxime chloride
- Benzos
14
Q
Cyanide- Sx
A
- Lactic acidosis
- Tachycardia, HTN, tachypena
- Anxiety, seizure, coma
- Cardiac arrest
- AMS
- No cyanosis
15
Q
Cyanide- Tx
A
- Amyl nitrite
- Sodium nitrite
- Sodium thiosulfate
- Bicarb for lactic acidosis
