ER 5 Q Flashcards

1
Q

Heat exhaustion is strongly related to heat index. Relative humidity of _ or more impairs the body’s ability to cool itself

A

60%

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2
Q

Heat exhaustion results in dehydration and blood accumulates in the skin to attempt to lower body temperature. This

A

decreases circulation

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3
Q

Temperature range for heat exhaustion

A

99.6-104

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4
Q

Water loss _ sodium loss

A

Exceeds

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5
Q

What is the priority for heat exhaustion?

A

Fluid and electrolyte replacement

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6
Q

Failure of the hypothalamic thermoregulatory processes

A

Heat stroke

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7
Q

4 complications of heat stroke

A

Death, cerebral edema, hemorrhage, circulatory collapse

Note: may also see muscle cramps, seizure precautions, delirium, coma

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8
Q

Death in heat stroke is directly related to

A

Duration of increased temperature

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9
Q

What is the core temperature for heat stroke

A

> 104

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10
Q

Initially in heat stroke there is increased sweating and vasodilation but compensation fails and _ stop functioning

A

Sweat glands

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11
Q

2 risk factors for heat stroke

A

dehydration and high temperatures

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12
Q

Meds to control shivering

A

chlorpromazine, thorazine, valium IV

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13
Q

Patient with heat stroke has tea colored urine. What is the likely issue?

A

AKI

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14
Q

With heat stroke, obtain clotting factors to monitor for

A

DIC

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15
Q

Core temp for hypothermia

A

<95

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16
Q

Most body heat is lost from

A

Head, thorax, lungs

17
Q

Death if temp falls below

A

78

18
Q

Shivering disappears at

A

86

19
Q

Patient must be warmed to at least _ before being pronounced dead

A

90

20
Q

Warm the _ before the extremities to prevent afterdrop

A

core

21
Q

Rewarming should be d/c when temp reaches

A

95

22
Q

How long to use PEEP or CPAP after submersion injury

A

48-72h

23
Q

Which bite is higher infection risk? Dog or cat

A

Cat

24
Q

Initial treatment for bites includes

A

irrigation, debridement, tetanus, analgesics

25
Q

Prophylactic antibiotics if the wounds are

A

over joints, less than 6-12h old, puncture, or on the hands or feet

26
Q

Patients who ingest caustic agents, sharp objects, or ingest nontoxic substances should not receive

A

lavage

27
Q

Intubate before lavage if there is

A

Decreased LOC, diminished gag

28
Q

WE GOT THIS

A

:) :) :) :) :)

29
Q

Contraindications of activated charcoal

A

diminished bowel sounds, paralytic ileus, ingestion of a substance poorly absorbed by charcoal

30
Q

_ takes priority over everything except BLS

A

Decontamination

31
Q

Do not use water if mustard gas is present because it creates

A

Chlorine gas

32
Q

antidote for acetaminophin

A

acytlcysteine|Mucomist

33
Q

helps with salicylate or phenobarbital toxicity

A

Sodium bicarb

34
Q

Added to IV fluids to enhance excretion of amphetamines

A

Vitamin C