Tox Flashcards
why we should get med direction early on in pre-hospital management of poisoning or overdose prior to transport
some substances can be neutralized with household substances
patient with suspected overdose. signs and symptoms you’d expect:
depressed respirations, lowered LOC, constricted pupils
patient with suspected narcotic overdose. you should be alert for what symptom:
respiratory depression
your patient was suspected of being bitten by a venomous snake. what skill most likely done after contacting med control
apply pressure dressing to the bite area
signs and symptoms of a narcotic overdose
depressed respirations, hypotension, paranoia
your ptnt is coughing up blood, a new resident at a homeless center, and having trouble sleeping and breathing, skin cool and diaphoretic. this info tells you:
you should treat the ptnt as if he could have a communicable disease
late anaphylactic reaction to antigen exposure
decrease in BP
you are called to a scene of U adult male, absent respirations, circumoral cyanosis, strong brachial pulse, and pinpoint pupils. which of the following will u provide: (all that apply):
Administer high flow O2 via non-rebreather
provide artificial ventilations
ADMINISTER O2 VIA BVM
exit scene, call police
administer nalaxone
begin CPR attach AED
provide artificial ventilations via BVM
ADMINISTER O2 VIA BVM
administer nalaxone
which would lead u to suspect a ptnt is going to go into anaphylactic reaction involving swelling airway and blood vessel dilation:
second exposure after a previous one where the body formed antibodies
you are treating a ptnt in anaphylactic reaction, who is U, weak carotid pulse, 64/40BP, and paramedics are 4 mins why. Why would med control deny your giving the epipen? choose 1
paramedics are so close
because the patient is not experiencing breathing compromise
the auto-injector will be ineffective
the auto-injector will not be effective.
This is the answer, I think because the BP is so low, potentially the epipen won’t work well.
why we administer epipen to ptnt in anaphylactic reaction:
NOT increase HR
NOT neutralize allergen
to contrict blood vessels.
This is the answer, but it doesn’t make sense.
initial signs+symptoms of anaphylaxis occur in:
NOT 1-2 hrs
NOT 30-45 mins
Answer: 30-60 seconds
why its important to figure out when the poisoning occurred:
some antidotes may only be effective if given with a specific window of time
which route of entry most likely to result in anaphylaxis. the answer is NOT ingestion, NOT inhalation, NOT absorbtion.
answer must be injected. I don’t know why.
