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CEN Exam > Tox/Environment > Flashcards

Tox/Environment Flashcards

1
Q

Acid ingestion

A

Coagulation type necrosis, damage to stomach

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2
Q

Alkali ingestion

A

Liquefaction of tissue, damage to esophagus

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3
Q

Chemical ingestion treatment

A

NO vomiting, NPO, DO rinse out mouth

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4
Q

Chemical burns

A

Protect yourself first. Brush of powder. decon with water.

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5
Q

Thermal burn

A

Airway may close rapidly.

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6
Q

Parkland Burn Formula

A

give 1/2 in first 8 hours from time of burn. Second 1/2 in 16 hours.

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7
Q

Burn wound care for <10%

A

Cool, moist dressing

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8
Q

Burn wound care for >10%

A

Dry, clean sheet

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9
Q

CO poisoning manifestations

A

HA, dizziness, weakness. 02 sat normal

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10
Q

CO treatment

A

Hyperbaric chamber. Oxygen mask

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11
Q

Electrical burns manifestations

A

V fib, compartment syndrome, rhabdo, hypovolemia

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12
Q

Heat cramp manifestations

A

Cramping, sweaty,

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13
Q

Heat exhaustion manifestations

A

Sweaty, pale, hypotensive, tachycardic

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14
Q

Heat stroke manifestations

A

Core temp 106, DRY, aloc

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15
Q

Heat stroke complications

A

DIC, rhabdo, heart failure, cardiac arrhythmias

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16
Q

Frostbite treatmet

A

Rewarm in warm water, leave blisters intact, elevate extremity

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17
Q

Hypothermia manifestations

A

Hypotension, aloc, fixed dilated pupils, pale, undressing

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18
Q

Hypothermia cardiac rhythms

A

A fib, Osbourn/J wave, V fib

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19
Q

Decompression sickness manifestations

A

Dyspnea, pain, weakness, blind spots, aloc

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20
Q

Jellyfish sting treatment

A

Rinse with salt water, vinegar, baking soda paste, meat tenderizer

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21
Q

Stingray treatment

A

Immerse in warm water for an hour

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22
Q

Black Widow manifestations

A

Dull ache, abdominal pain, hypertension, N/V, weakness

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23
Q

Brown recluse manifestations

A

Blister and redness at site that will turn into an ulcerating wound. Fever, chills, malaise

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24
Q

Pit viper local reaction

A

Petechiae, ecchymosis, tissue necrosis

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25
Q

Pit viper systemic reaction

A

Tachycardia, constricted pupils, bleeding disorders

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26
Q

Lyme disease manifestations

A

Circular rash, flu symptoms, arthritis, skin lesions, memory loss, AV blocks

27
Q

Rocky mounted spotted fever manifestations

A

Fever, chills, small slat pink spots, renal failure, elevated LFT’s

28
Q

Barbiturate OD manifestations

A

Barb blisters - treat like second-degree burns

29
Q

Anti-cholinergic manifestations

A

Dry, hypertension, hyperthermia, mydriasis, urinary retention

30
Q

Anti-cholinergic meds

A

Antihistamines, tricyclics, antispasmodics, Parkinson’s meds

31
Q

Cholinergic substances

A

Organophostphates, carbamate, nicotine

32
Q

Cholinergic manifesations

A

Diarrhea, urination, bradycardia, miosis, salivation

33
Q

Arsenic, phosphorus, organophosphate breath

A

Garlic

34
Q

Cyanide breath

A

Bitter almond

35
Q

Methylsalicylate breath

A

Wintergreen

36
Q

Carbon monoxide breath

A

Coal gas

37
Q

Activated charcoal CONTRAindications

A

Caustics, heavy metals, iron, lithium, toxic alcohols

38
Q

Gastric lavage indications

A

Symptomatic patients within 1 hour of ingestion, agents that slow gastric motility, sustained-release medication

39
Q

Whole bowel irrigation indications

A

Cocaine-filled balloons, iron, lead, zinc, batteries

40
Q

Poisons that respond to hemodialysis

A

Tylenol, alcohol, amphetamine, arsenic, antibiotics, methanol, salicylate, valproic acid, theophylline, phenytoin

41
Q

Salicylate OD manifestations

A

Tachycardia, N/V, hemorrhagic gastritis, aloc, tinnitus

42
Q

NSAID OD manifestations

A

Seizures, lethargy, hypotension, bradycardia

43
Q

Tricyclic OD manifestations

A

ANTICHOLINERGIC and cardiotoxic

44
Q

Digoxin OD manifestations

A

Bradycardia, hyperkalemia, halo eyesight, N/V

45
Q

Carbamate, organophosphate antidote

A

Atropine, pralidoxime

46
Q

Neuroleptic antidote (haldol, phenothiazine)

A

Cogentin

47
Q

Calcium channel blockers

A

Calcium chloride

48
Q

Hydroflouric acid burn antidote

A

Calcium gluconate gel

49
Q

Hyperkalemia/hypermag antidote

A

IV calcium gluconate

50
Q

Cyanide antidote

A

Cyanide kit

51
Q

Iron antidote

A

Desferal

52
Q

Digoxin antidote

A

Digibind

53
Q

Arsenic/lead/gold/mercury antidote

A

Dimercaprol

54
Q

Phenothiazine antidote (antipsychotics)

A

Benadryl

55
Q

Benzo antidote

A

Romazicon

56
Q

Beta-blocker antidote

A

Glucagon

57
Q

Nitrite antidote

A

Mehtylene blue

58
Q

Oral hypoglycemic antidote (sulfonylureas)

A

Octreotide

59
Q

Acetaminophen antidote

A

Mucomyst

60
Q

Opioid antidote

A

Narcan

61
Q

Anticholinergic antidote

A

Physostigimine

62
Q

Coumadin/Warfarin antidote

A

Vitamin K

63
Q

Tricyclic antidote

A

Sodium bicarb

64
Q

Rabies shot

A

Administer into wound and IM into distal to wound

CEN Exam (9 decks)

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