Toxicology, Immunology, Infectious Flashcards

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1
Q

Mild alcohol withdrawal

A

Restlessness
Anxiousness
Sleeping problems
Agitation
Tremors

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2
Q

Severe Alcohol Withdrawal

A

Hypotension
Tachycardia
Vomiting
Hallucinations
Delirium Tremens

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3
Q

Withdrawal Seizures

A

12-48 hours of the last drink

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4
Q

Delirium Tremens

A

48-72 hours after the last alcohol intake

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5
Q

Cocaine

A

Local anesthetic
Nervous system stimulant
Tachycardia
Hypertension
Hyperthermia
Dilated pupils
Ventricular dysrhythmias

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6
Q

Benzodiazepines

A

Altered mentation
Drowsiness
Confusion
Slurred speech
Ataxia
General loss of coordination
No pupillary response

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7
Q

Narcotic

A

Euphoria
Hypotension
Respiratory depression
Pinpoint pupils
Coma
Seizures

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8
Q

Sodium channel blocker toxicity

A

Prolonged QRS
Prolonged QT
Hypotension secondary to depressed
Myocardial contractility
Ventricular dysrhythmias

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8
Q

Sodium channel blocker toxicity

A

Prolonged QRS
Prolonged QT
Hypotension secondary to depressed
Myocardial contractility
Ventricular dysrhythmias

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9
Q

Beta-adrenergic blocker toxicity

A

Hypotension
Bradycardia
Related symptoms such as lethargy, weakness, shortness of breath, and possible seizures
Hypoglycemia, especially in pediatric patients
Bronchospasm

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10
Q

Potassium channel blocker toxicity

A

Hypotension
Bradycardia
Certain ventricular dysrhythmias (Torsades)
Prolonged QT interval

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11
Q

Calcium channel blocker toxicity

A

Decreased pulse rate
Decreased AV nodal conduction
Decreased myocardial contractility
Vasodilation
Nausea and vomiting
Altered mental status
Metabolic acidosis

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12
Q

Organophosphate poisoning

A

S.L.U.D.G.E.M

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13
Q

Organophosphate Antidote

A

Atropine 1-2mg IVP q 3-5 min
1-2g IV q 15-30 min

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14
Q

Narcotic Antidote

A

Narcan .04-2mg IVP as needed for respiratory depression

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15
Q

Benzodiazepines Antidote

A

Romazicon/Flumazinil

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16
Q

Tylenol Antidote

A

Mucomyst/acetylcysteine

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17
Q

Carbon Monoxide Poisoning

A

Displaces oxygen from hemoglobin in red blood cells
Headache
Fatigue
Nausea
Tachypnea
Tachycardia
Confusion
Cherry red skin

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18
Q

Tricyclic Antidepressant Overdose

A

Hyperthermia, dilated pupils, dry skin and mucous membranes, reddened skin, and agitation or delirium.
ECG changes.
Prolonged PR interval
Tachycardia
Widening QRS
Terminal R wave greater than 3 mm in aVR
Prolonged QT interval
Altered mental status, delirium, and seizures

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19
Q

Cyanide

A

Combines with a crucial cellular enzyme (cytochrome oxidase), which blocks utilization of oxygen at the cellular level
Headache
Nausea
Vomiting
Anxiety
Vertigo
Weakness
Dyspnea

20
Q

Salicylates Overdoe

A

Vomiting
Diaphoresis
Hyperpnea
Ringing in the ears (tinnitus)
Pulmonary edema
Acid-base disturbances

21
Q

Anaphylactic Reaction

A

An allergic response of 2 or more body systems IgE medicated response

22
Q

Anaphylactiod Reaction

A

An allergic response of 2 or more body systems
No IgE mediated response

23
Q

Allergic Reaction

A

An allergic response involving 1 body system

24
Q

Pruritus

A

Severe itching

25
Q

Urticaria

A

Hives

26
Q

Benadryl

A

First medication for allergic reaction

27
Q

Epi

A

First medication for anaphylaxis

28
Q

Lupus

A

Multisystem autoimmune disease that affects the entire body
Suspect in women of childbearing age with fever, rash, and joint pain

29
Q

Scleroderma

A

Autoimmune connective tissue disease that causes fibrotic changes to the skin, blood vessels, muscles, and internal organs

30
Q

Heart transplant

A

Denervation of the vagus nerve.
Signs and symptoms of rejection are subtle and may require a biopsy to confirm.

31
Q

Liver Transplant

A

Watch for infection, especially opportunistic infection.
Observe for jaundice and palpate for tenderness over the site.

32
Q

Kidney Transplant

A

Fever
Tenderness and swelling over the implanted organ
Hypotension is a common complication.

33
Q

Lung Transplant

A

Rejection
Cough
Dyspnea
Fever
Rales

34
Q

Pancreas Transplant

A

More complications and a lower survival rate at 1 year than other single-organ transplants

35
Q

Meningitis

A

Headache
Fever
Photosensitivity
Nuchal rigidity

36
Q

Seasonal Influenza

A

Systemic fever
Shaking chills
Headache
Malaise
Loss of appetite
Respiratory symptoms

37
Q

Pertussis

A

Highly contagious.
Thick nasal discharge
Cough that progresses to coughing spasms
Whooping sound with inspiration after coughing spasm

38
Q

Mumps

A

Fever
Headache
Muscle aches
Swelling of salivary glands unilaterally or bilaterally

39
Q

Tuberculosis

A

Persistent cough for more than 3 weeks plus one or more of the following:
Night sweats
Headache
Fever
Weight loss
Hemoptysis

40
Q

Varicella Zoster (chickenpox)

A

Listlessness
Slight fever
Photosensitivity
Vesicular rash

41
Q

Measles

A

Fever
Blotchy red rash
White-gray spots on the buccal mucosa

42
Q

Mononucleosis

A

Sore throat
Fever
Secretions from the pharynx
Swollen lymph glands
Malaise
Headache
Enlarged liver and spleen

43
Q

AIDS

A

Acute febrile illness
Malaise
Swollen lymph glands
Headache
Rash
Opportunistic Infections

44
Q

Norovirus

A

Nausea
Forceful vomiting
Watery diarrhea
Abdominal pain
Weakness
Low-grade fever

45
Q

Shingles

A

Reactivation of varicella zoster
Painful
Unilateral vesicular rash

46
Q

SARS (severe acute respiratory syndrome)

A

Fever of greater than 100.4°F (38°C)
Headache
Body aches
After 7 days, a dry cough
10 day quarantine if exposed

47
Q

Hantavirus

A

Fever
Headaches
Vomiting
Diarrhea
Progressing to Cough with secretions
Shortness of breath
Fluid accumulation within the lungs