Poison Control Flashcards
No time of bite
remove jewelry other items that may constrict swelling
position body part in normal function
position place body part at or below level of heart
loosely support body part cleanse wound supportive care
Mark swollen area with marker consider advanced life-support
alert CT poison control
Prehospital care for a snake bite
Northern copperhead
timber rattlesnake
Types of poisonous snakes in CT
Do not try to capture the snake cut the wound extract venom by mouth use ice use a tourniquet raise limb
What not to do during pre hospital care for snake bite
Anti-venom
less allergic reactions than with previous antidotes
weighs risk versus benefit
serum sickness
CroFab
Produced by immunizing healthy sheep
binds and neutralizes venom toxins re distributing them away from target tissues and enhancing elimination
has been shown to reverse or prevent the progression of local tissue damage vascular tissue damage and neurological Toxicity.
CroFab
In wood piles in rubble piles under stones in hollow stumps in rodent burrows
Black widow spider webs
Out houses sheds garage clustered areas basement crawlspaces
Black widow
Produces one of the most toxic venoms by volume
Black widow
Cleanse with soap and water
cool compress
and supportive care
Prehospital care for a spider bite
Added to orderless natural gas used in the homes so as to limit the potential for unrecognized hazardous exposure
Mercaptans
Can be purchased on Internet
Used in photo stop bath solutions
Contain acid 50% concentration
-At this concentration can have dermal burns
-Inhalation of vapors can cause dyspnea, chest pain, and pulmonary edema
Vinegar - acetic acid 4-6%
Glacial acid
If ingested caustic >15% ammonia
House hold ammonia 5-10%
-Ammonia reacts with moisture in mucosal surfaces to produce ammonium hydroxide which may cause caustic injury. The severity of injury depends upon the concentration and duration of exposure.
Ammonia
Vicks rub (4.7%) Vicks vapo steam (6.2%)
Toxic at 30mg/kg
-1 tsp of Vicks Waco steam in a 10 kg child would be toxic
Neurotoxic risk is seizures which are rapid within 30 min of ingestion
Mothball smell
Camphor
Battle exposure (WW1) moldy Hay smell
Heavier than air
Symptoms not noticeable right away/no strong terrible odor
Symptoms - cough, chest discomfort, dyspnea, lacrimation
High levels produce lung injury in 2-6h; die of pulmonary edema
Accounted for 85% of WW1 deaths from chemical weapons
Phosgene
Toxic gas when sewage is standing for A period of time or become stagnant or septic.or you can make it yourself
Rotten egg odor
Hydrogen sulfide