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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
Pit viper systemic reaction
Tachycardia, constricted pupils, bleeding disorders
26
Lyme disease manifestations
Circular rash, flu symptoms, arthritis, skin lesions, memory loss, AV blocks
27
Rocky mounted spotted fever manifestations
Fever, chills, small slat pink spots, renal failure, elevated LFT's
28
Barbiturate OD manifestations
Barb blisters - treat like second-degree burns
29
Anti-cholinergic manifestations
Dry, hypertension, hyperthermia, mydriasis, urinary retention
30
Anti-cholinergic meds
Antihistamines, tricyclics, antispasmodics, Parkinson's meds
31
Cholinergic substances
Organophostphates, carbamate, nicotine
32
Cholinergic manifesations
Diarrhea, urination, bradycardia, miosis, salivation
33
Arsenic, phosphorus, organophosphate breath
Garlic
34
Cyanide breath
Bitter almond
35
Methylsalicylate breath
Wintergreen
36
Carbon monoxide breath
Coal gas
37
Activated charcoal CONTRAindications
Caustics, heavy metals, iron, lithium, toxic alcohols
38
Gastric lavage indications
Symptomatic patients within 1 hour of ingestion, agents that slow gastric motility, sustained-release medication
39
Whole bowel irrigation indications
Cocaine-filled balloons, iron, lead, zinc, batteries
40
Poisons that respond to hemodialysis
Tylenol, alcohol, amphetamine, arsenic, antibiotics, methanol, salicylate, valproic acid, theophylline, phenytoin
41
Salicylate OD manifestations
Tachycardia, N/V, hemorrhagic gastritis, aloc, tinnitus
42
NSAID OD manifestations
Seizures, lethargy, hypotension, bradycardia
43
Tricyclic OD manifestations
ANTICHOLINERGIC and cardiotoxic
44
Digoxin OD manifestations
Bradycardia, hyperkalemia, halo eyesight, N/V
45
Carbamate, organophosphate antidote
Atropine, pralidoxime
46
Neuroleptic antidote (haldol, phenothiazine)
Cogentin
47
Calcium channel blockers
Calcium chloride
48
Hydroflouric acid burn antidote
Calcium gluconate gel
49
Hyperkalemia/hypermag antidote
IV calcium gluconate
50
Cyanide antidote
Cyanide kit
51
Iron antidote
Desferal
52
Digoxin antidote
Digibind
53
Arsenic/lead/gold/mercury antidote
Dimercaprol
54
Phenothiazine antidote (antipsychotics)
Benadryl
55
Benzo antidote
Romazicon
56
Beta-blocker antidote
Glucagon
57
Nitrite antidote
Mehtylene blue
58
Oral hypoglycemic antidote (sulfonylureas)
Octreotide
59
Acetaminophen antidote
Mucomyst
60
Opioid antidote
Narcan
61
Anticholinergic antidote
Physostigimine
62
Coumadin/Warfarin antidote
Vitamin K
63
Tricyclic antidote
Sodium bicarb
64
Rabies shot
Administer into wound and IM into distal to wound

CEN Exam (9 decks)

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