poisoning/near drowning Flashcards
1
Q
where poisoning occurs
A
- kitchen & bathroom
- household items
- soaps, cosmetics, detergents, plants, cleaners
- medications (OTCs)
2
Q
types of poisons
A
- meds: analgesics, iron
- lead
- caustics: acids & alkalis
- hydrocarbons
- plants
- *usually PO
3
Q
primary mgmt of poisoning
A
- ABCs
- ID toxic substance: type, time, route, amt, symptoms
- physical exam: VS, LOC, labs
- decontaminate: prevent further absorption & reverse/eliminate effects
4
Q
mgmt of poisoning
A
- ipecac
- gastric lavage
- activated charcoal
- cathartics
- whole bowel irrigation
- antidotes & antagonists
- intubation & gastric tube
5
Q
gastric lavage
A
- insert orogastric tube
- instill & aspirate NS until clear
6
Q
activated charcoal
A
- insert orogastric tube
- deactivate the poison
7
Q
whole bowel irrigation
A
- golytely
- massive ingestion
- pts who don’t tolerate charcoal
- hastens excretion
- minimizes absorption
8
Q
antidote to narcotics
A
narcan
9
Q
antidote to acetaminophen
A
mucomyst
10
Q
antidote to benzodiazepines
A
romazicon
11
Q
antidote to carbon monoxide
A
oxygen
12
Q
antidote to INH
A
pyridoxine
13
Q
antidote to aspirin
A
vitamin K
14
Q
plumbism
A
- *lead poisoning
- interferes with normal cell function (RBCs)
- lead is deposited in blood, bone, & soft tissue
15
Q
sources of lead
A
- paint chips or dust
- home glazed pottery
- food (lead chromate)