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Flight Paramedic > Environment/Toxicology > Flashcards

Environment/Toxicology Flashcards

(54 cards)

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1
Q

Shivering is limited by _______

A

Glycogen Availability

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2
Q

The ability to shiver is lost at ____C

A

32

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3
Q

EKG findings seen in severe hypothermia include:

A
  1. Prolonged PRI
  2. Prolonged QT
  3. Osborne Waves
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4
Q

Severe Hypothermia is when the core temp falls below ______

A

28

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5
Q

Mild Hypothermia _________

A

33c to 35c

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6
Q

Moderate Hypothermia

A

29c to 32c

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7
Q

At 32c we start to see _________

A 
Shivering Stop
LOC decrease
SVR fall
Acidosis Develop
Hyperglycemia Occur
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8
Q

Below 28c we start to see _____

A

Hypotension

ECG changes

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9
Q

In hypothermic arrest you should hold meds till the body temp increases above ______

A

30c

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10
Q

The single most critical step in treating a hypothermic pt is ______

A

removal from the cold environment and appropriate re-warming

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11
Q

Heat Exhaustion is defined as _______

A

increased core temp without neuro changes.

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12
Q

Blood Glucose level _______ in severe hypothermia

A

Increases

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13
Q

Cold pt’s don’t _________

A

Clot

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14
Q

VF risk is the highest at what temp?

A

22c

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15
Q

In hypothermia only start CPR if the monitor shows _____ or ______

A

vfib or asystole

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16
Q

In pt’s with hyperthermia a high cardiac output may lead to a ________

A

AMI

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17
Q

Increase in sweat evaporation can lead to a loss of _____/hr

A

1-3L

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18
Q

Heat cramps are caused by _______

A

Hyponatremia

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19
Q

Treat Heat cramps with ____

A

0.9% NS

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20
Q

Heat Stroke is defined as ____

A

LOC Altered

Core temp above 42c

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21
Q

In heatstroke pts monitor labs which include: _________

A
  1. ABG’s for acidosis
  2. Monitor Clotting factors and watch for DIC
  3. Monitor Liver Enzymes
  4. Watch Sodium levels and monitor for hyponatremia
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22
Q

Rhabdo Treatment:

Study These Flashcards
A
  1. Increase urine output to 2ml/kg/hr
  2. Alkalize urine with Bicarb
  3. Assist with diuresis with lasix and/or mannitol
23
Q

TCA overdose treatment:

Study These Flashcards
A
  1. Bicarb

2. Norepi first choice pressor

24
Q

Beta Blocker Overdose Treatment:

Study These Flashcards
A
  1. Atropine
  2. TCP asap
  3. Glucagon
  4. Dopamine
25
Calcium Channel Blockers OD treatment:
1. Calcium 2. TCP 3. Check Blood Sugar
26
Digitalis OD treatment:
1. Digibind 2. TCP 3. Lidocaine 4. Dilantin 5. Mag Sulfate 6. Correct Electrolyte Imbalances
27
K+ replacement rate:
Commonly 10-20 meq/hr
28
Ethylene Glycol OD manifestation:
1. Profound Anion-Gap 2. Osmolar Gap 3. Nystagmus/Blindness
29
Ethylene Glycol OD Treatment:
1. IV Ethanol GTT | 2. Fomepizole
30
Cyanide Poisoning Treatment: | Jewelry Store
1. Amyl/Sodium Nitrate | 2. Sodium Thiosulfate
31
Organophosphate Poisoning Treatment:
1. Atropine | 2. 2-PAM
32
MetHGB Poisoning Treatment:
Methlyne Blue
33
Anticholinergic Poisoning Treatment | Atropine Gypsum Weed
Physostigamine
34
Heparin OD treatment
Protamine Sulfate
35
Coumadin Reversal
Vit K preferably IM | FFP
36
Creatinine Phosphokinase=
CPK or CK
37
Defibrillation is not effective till the body temp is greater then ______
30c
38
_________ rewarming can prevent after drop phenomenon
Active Internal
39
The fastest reaction that can occur from blood administration is _______
Acute hemolytic reaction
40
With electrical injury with hematuria you should maintain a urinary output of ______
100 ml/hr
41
Critical goal in treatment of heat illness is ______
Cooling
42
Two street drugs that cause hallucination are _____
PCP | LCD
43
Lysergic Acid Diethylamide =
LSD
44
ETOH antidote=
Fomepizol (Antizol)
45
Dig toxicity is easily exacerbated by ______
Beta Blockers
46
Benzo Antidotes=
Romazicon
47
Iron Antidote=
Deferoxamine
48
Ethylene Glycol creates what kind of metabolic disturbance ?
Metabolic Acidosis
49
Organophosphate Antidote=
Pralidoxime (2-PAM)
50
Normal BUN level
6-23
51
Mydriasis=
Pupil Dilation
52
Miosis=
Pupil Constriction
53
Organophosphate S/S
SLUDGE; DUMBELSS
54
Nitroprusside can cause ______ poisoning
cyanide

Flight Paramedic (14 decks)

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