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Test 5 > Disaster > Flashcards

Disaster Flashcards

1
Q

cutaneous anthrax signs and symptoms

A
  • itchy blisters

- skin ulcer with black center

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2
Q

inhaled anthrax signs and symptoms

A

Fever and chills, chest discomfort, shortness of breath, confusion or dizziness, nausea, vomiting, or stomach pains, body aches, sore throat

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3
Q

Treatment for anthrax

A

TX: Fluoroquinolones (Cipro), doxycycline

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4
Q

gastrointestinal anthrax signs and symptoms

A

Fever and chills, swelling of neck or neck glands, sore throat, diarrhea or bloody diarrhea, flushing (red face) and red eyes, swelling of abdomen (stomach)

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5
Q

Injectable

A

Symptoms are similar to those of cutaneous anthrax, but injection anthrax can spread throughout the body faster and be harder to recognize and treat than cutaneous anthrax.

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6
Q

Botulism treatment

A

Treatment: Airway management, antitoxin, elimination of toxin

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7
Q

signs and symptoms of botulism

A

Signs/Symptoms: blurred vision, drooping eyelids, slurred speech, difficulty swallowing, difficulty breathing, dry mouth, n/v, and muscle weakness

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8
Q

smallpox signs and symptoms

A

Discrete rash starts centrally and moves out, with pus-filled lesions
7-17 day incubation period followed by myalgia, fever, delirium, excessive bleeding, vomiting, HA, and backache

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9
Q

when is smallpox no longer infectious

A

Infectious until all scabs healed over

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10
Q

treatment for smallpox

A

NONE

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11
Q

How does Ebola spread

A

Ebola is NOT transmitted through the air or water. It is spread via:

Direct contact (through broken skin or mucous membranes) with the blood, secretions, organs of infected people.

Direct contact with surfaces and materials (e.g. needles, bedding, clothing)

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12
Q

When is a person with ebola contagious

A

Patients infected with Ebola are contagious only when showing symptoms of the virus.

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13
Q

First symptoms of Ebola

A

sudden fever, fatigue, muscle pain, headaches, sore throat

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14
Q

Later signs/symptoms of Ebola

A

vomiting, diarrhea, rash, stomach pain, weakness, lack of appetite

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15
Q

incubation period for ebola

A

2-21 days

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16
Q

Level A PPE protection

A

Level A - greatest potential for exposure to hazards exists; greatest risk for respiratory, skin and eye exposure
positive pressure, full face-piece self contained breathing apparatus
totally encapsulated chemical- and vapor-protective suit

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17
Q

Level B PPE protection

A

Level B - highest level of respiratory protection, with lesser level of skin protection
positive pressure, full face-piece self contained breathing apparatus
Face shield, inner and outer chemical resistant

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18
Q

Level C PPE protection

A

Level C - required when the concentration and type of airborne substances
full-face air purifying respirators
inner and outer chemical-resistant gloves

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19
Q

Level D PPE protection

A

Level D - minimum protection required

gloves, face shields, goggles

20
Q

RED

A

compromise to airway
RR >30 or 120 or absent radial pulse
bleeding that needs to be controlled

21
Q

YELLOW

A

unable to walk
airway ok
RR 11 to 29
HR

22
Q

GREEN

A

?????

23
Q

BLACK

A

expected to die, move on

24
Q

what is the A in the

ABCDE

A

Airway maintenance with C-spin protection

25
Q

Inspect Airway for…

A 
patency 
c-spine in neutral position
facial/neck trauma 
tongue obstructing airway 
foreign bodies
vomiting/secretions
blood clots
26
Q

with is the B in ABCDE

A

Breathing with ventilation and oxygenation

27
Q

inspect breathing for

A 
spontaneous breathing
skin color 
chest rise and fall
respiratory rate 
chest wall integrity 
distended neck veins 
trachea position 
brief auscultation of lungs
auscultate heart sounds
28
Q

Breathing intervention

A 
High flow oxygen
Ventilate patient with 100% oxygen via bag valve mask
Intubation- absent/inadequate breathing
Needle thoracentesis
Chest tube insertion
Pericardiocentesis
29
Q

what is the C in the ABCDE

A

Circulation with hemorrhage control and volume replacement

30
Q

Inspect for what with C

A 
Identify signs and sources of hemorrhage
Skin color/temperature/moisture
Cap refill 
Level of consciousness (Poor perfusion)
Auscultate blood pressure
Pulse rate and character
Signs of cardiac tamponade
31
Q

if you can feel carotid pulse, SBP is >…

A

60

32
Q

if you can feel femoral pulse, SBP is >…

A

70

33
Q

if you can feel radial/pedal pulse, SBP is >…

A

80

34
Q

signs and symptoms of hypovolemic shock

A

Confusion, cool and clammy skin, tachypnea
Hypotension, rapid pulse that is weak and thready, low body temperature, altered mental status, delayed cap refill, oliguria

35
Q

What is the D for in ABCDE

A

Disability (neurologic exam)

36
Q

What assessments do you do for the D in ABCDE

A

GCS
pupil size, reactivity and equality
sensory/motor function

37
Q

Disability interventions

A

GSC

38
Q

What is the E in ABCDE

A

Exposure/Environmental control

39
Q

Assessment of the Expose/environment

A

undress patient

examine for missed injuries

40
Q

intervention for Expose/environment

A

remove backboard
apply warm blankets
prevent hypothermia

41
Q

AMPLE history

A 
Allergies
Medications
Past illnesses/pregnancies 
Last meal 
Events related
42
Q

interventions for hemothorax

A

treat hypovolemic shock - restoration of blood volume
high flow oxygen
prepare for chest tube insertion for decompression

43
Q

signs of Flail Chest

A 
paradoxical chest wall movement 
respiratory distress
hypoxia 
cyanosis 
chest pain 
tachycardia
44
Q

interventions for flail chest

A

high flow oxygen
intubate/ventilate
fluid resuscitation
analgesia to improve ventilation

45
Q

Becks Triad

A

hypotension
muffled heart sounds
JVD

46
Q

treatment for cardiac tamponade

A

pericardiocentesis

Test 5 (5 decks)

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