Test #2 Terriorism ARTICLES- Dwayne

Question 1

Where should decontamination of bio/chem agents be done

Answer 1

Before the Pt enters the hospital facility and away from ventilation ducts

Question 2

Washing w water can be made more effective is what is added?

Answer 2

soap or bleach which is a hypochlorite

Question 3

Inhaled anthrax is fatal, classic feature of is

Answer 3

Wide mediastinum on CXR

Question 4

Anthrax Tx

Answer 4

Cipro 400 mg IV q8 for 14 days

Prophylaxis Cipro 500 mg PO Q12hrs

Question 5

3 forms of plague

Answer 5

Bubonic, septicemic, pneumonic, transmitted through fleas and dropplet

Question 6

Tularemia

Answer 6

Rarely fatal, Tx - streptomycin or gentamycin IM BID for 10-14 days

Question 7

Botulism act where?

Answer 7

neuromuscular junction   (BOTOX)
results in placid paralysis

Question 8

Botulism infection is most common from

Answer 8

Home canned foods

Question 9

The number one priority in treatment w botulism is

Answer 9

Airway protection. may need ventlatory support for 60 dyas to 7 months

Question 10

Small pox is transmitted how

Answer 10

droplet via person toe person

Question 11

Small pox S/S

Answer 11

maculopapular rash face and upper extthe to the trunk ALL in the SAME STAGE, Chicken pox are NOT

Question 12

Hemorrhagic fever transmission

Answer 12

contact, inhalation from aminals or from arthrpod vectors. no treatment except supportive

Question 13

Viral Encephalitis

Answer 13

easily aerosolized, easily mass produced and causes incapacitation

Question 14

Chemical Neurologic Agents

Answer 14

Tuban, sarin, soman, VX

Question 15

Tuban, sarin, soman, VX are _______ compounds

Answer 15

organophosphates

Question 16

organophosphates _______ bond to acetylcholinesteras resulting in excessive ______ ant the synapse

Answer 16

covalently, acetylcholine

Question 17

excessive acetylcholine at the synaptic cleft causes what symptoms

Answer 17

DUMBBBELS (defication, urination, miosis, Bronchospasm, bronchorehia, bradycardia, emesis, lacarmation, salivation

Question 18

Treatment for Nerve agent exposure is what dose of atropine

Answer 18

1-2 mg initially up to 6 mg then 2 mg q 5-10 min until symptoms resolve

Question 19

Which of the following medication do we use in anesthesia would be the best to competitively antagonizes sarin nerve gas at the muscarinic nerve junction?

Answer 19

Atropine

Question 20

Malaria is contagious T/F?

Answer 20

False it is not contagoue

Question 21

Quinine is on of the mainstay anti-malarial drugs but it prolongs what drug

Answer 21

Rocuronium

Question 22

Isoflurane is the agent of choice in Pts with cerebral malaria because it causes less cerebral vasodilation ? T/F

Answer 22

True

Question 23

Malaria has an incubation period of

Answer 23

5-30 days

Question 24

S/S of malaria

Answer 24

chills, fever, fatigue, HA, cough and myalgia intermittently

Question 25

Malaria has 3 stages

Answer 25

Cold stage, hot stage, wet stage.

Question 26

Quinine administration side effect can cause

Answer 26

Hypoglycemia due to stimulation of beta cells in the pancreas Increases NMB agenst

Question 27

If there is Renal impairment from malaria you should use what for muscular blocking

Answer 27

Cis-artacurium and artaccurium. avoid vec and panc.