Accidents/ Injuries/ Poisonings

Question 1

PA Car Seat Laws

Answer 1

under age 2: rear-facing car seat

under age 4: forward facing car seat

Question 2

1 cause of burns and bathtub injuries

Answer 2

water is too hot

Question 3

Bath Tub Safety

Answer 3

water heater temp max: 120F
water temp bath max: 104F
Turn on hot water LAST and off FIRST

Question 4

Concussion Definition

Answer 4

a direct blow to the head, face, neck that is transmitted to the head

Question 5

Concussion Initial Assessment

Answer 5

ABC’s
brief LOC
symptoms may be absent for first few hours
**athletes may not report concussion to not risk losing playing time

Question 6

Concussion S & S

Answer 6

headache
nausea
repeated vomit
noise sensitivity 
difficulty to concentrate 
emotional instability 
answers slowly

Question 7

Concussion Prevention

Answer 7

proper education of athletes and coaches

academic accommodations for students

Question 8

Second Impact Syndrome

Answer 8

rare. but happens if second concussion occurs before first injury to the head heals

Question 9

Tanner Staging

Answer 9

drives the size of the babe

baby: stage 1
adult: stage 5

Question 10

Care of an Injrury

Answer 10

Rest
Ice
Compress
Elevate

Question 11

Fractures: Closed vs. Open

Answer 11

Closed: non piercing (given a cast)
Open: compound fracture (surgery)

Question 12

Epiphyseal Plate

Answer 12

bone growth occurs here
weakest part of the bone
complications arise from poor blood flow to the area

Question 13

Acetaminophen Poisoning

Answer 13

150mg/kg.
there are 4 stages of toxicity
CAUSES LIVER FAILURE

Question 14

Acetaminophen Antidote

Answer 14

N-Acetylcysteine

Question 15

Ibuprofen Poisoning

Answer 15

Causes Renal (kidney) failure

Question 16

Activated Charcaol

Answer 16

given in emergency situations
fine black powder that creates a stable compound to be exited from the body
give within 1 hour

Question 17

Activated Charcoal Nursing Considerations

Answer 17

• *may cause vomit, chances higher when given with sorbitol

* *DO NOT give to children under 1 year of age with sorbitol

Question 18

Corrosive Poisoning Nursing Considerations

Answer 18

GIVE MILK & WATER to dilute

DO NOT INDUCE VOMIT

Question 19

Sources of Lead Poisoning

Answer 19

Paint in old homes
fishing weights
lead pipes
sniffing gasoline

Question 20

Symptoms of Lead Poisoning

Answer 20

early symptoms vague, non-specific

late symptoms increase vomit impairment of consciousness

Question 21

Lead Poisoning and XRAY

Answer 21

lead will be evident on bone growth on XRAY

Question 22

Toxic Lead Levels

Answer 22

aim for less than 10mcg/dL

^^ No lead poisoning

Question 23

Treatment for Lead Poisoning

Answer 23

starts when levels reach above 45mcg/dL

Question 24

Carbon Monoxide Symptoms

Answer 24

headache
muscle weakness
dizziness
“cherry red” appearance

Question 25

CO poisoning treatment

Answer 25

100% O2 therapy
draw blood until CO2 level is less than 5%
**report to the Health Dept

Question 26

Burn Assessment

Answer 26

Rule of 9s
arms/ head are 4.5

infant:
18% chest and head
9% arms
14% legs

Question 27

Surface Toxin Care

Answer 27

wash the area to remove toxin (Fels Naptha Soap)

assess for allergic reaction

Question 28

Emergency Care of Poisoning

Answer 28

ABC’s
Identify the poison
Call poison control
Neutralize the poison/ induce vomit/ activated charcoal