Test #2 Terriorism ARTICLES- Dwayne Flashcards Preview

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Flashcards in Test #2 Terriorism ARTICLES- Dwayne Deck (27):
1

Where should decontamination of bio/chem agents be done

Before the Pt enters the hospital facility and away from ventilation ducts

2

Washing w water can be made more effective is what is added?

soap or bleach which is a hypochlorite

3

Inhaled anthrax is fatal, classic feature of is

Wide mediastinum on CXR

4

Anthrax Tx

Cipro 400 mg IV q8 for 14 days
Prophylaxis Cipro 500 mg PO Q12hrs

5

3 forms of plague

Bubonic, septicemic, pneumonic, transmitted through fleas and dropplet

6

Tularemia

Rarely fatal, Tx - streptomycin or gentamycin IM BID for 10-14 days

7

Botulism act where?

neuromuscular junction (BOTOX)
results in placid paralysis

8

Botulism infection is most common from

Home canned foods

9

The number one priority in treatment w botulism is

Airway protection. may need ventlatory support for 60 dyas to 7 months

10

Small pox is transmitted how

droplet via person toe person

11

Small pox S/S

maculopapular rash face and upper extthe to the trunk ALL in the SAME STAGE, Chicken pox are NOT

12

Hemorrhagic fever transmission

contact, inhalation from aminals or from arthrpod vectors. no treatment except supportive

13

Viral Encephalitis

easily aerosolized, easily mass produced and causes incapacitation

14

Chemical Neurologic Agents

Tuban, sarin, soman, VX

15

Tuban, sarin, soman, VX are _______ compounds

organophosphates

16

organophosphates _______ bond to acetylcholinesteras resulting in excessive ______ ant the synapse

covalently, acetylcholine

17

excessive acetylcholine at the synaptic cleft causes what symptoms

DUMBBBELS (defication, urination, miosis, Bronchospasm, bronchorehia, bradycardia, emesis, lacarmation, salivation

18

Treatment for Nerve agent exposure is what dose of atropine

1-2 mg initially up to 6 mg then 2 mg q 5-10 min until symptoms resolve

19

Which of the following medication do we use in anesthesia would be the best to competitively antagonizes sarin nerve gas at the muscarinic nerve junction?

Atropine

20

Malaria is contagious T/F?

False it is not contagoue

21

Quinine is on of the mainstay anti-malarial drugs but it prolongs what drug

Rocuronium

22

Isoflurane is the agent of choice in Pts with cerebral malaria because it causes less cerebral vasodilation ? T/F

True

23

Malaria has an incubation period of

5-30 days

24

S/S of malaria

chills, fever, fatigue, HA, cough and myalgia intermittently

25

Malaria has 3 stages

Cold stage, hot stage, wet stage.

26

Quinine administration side effect can cause

Hypoglycemia due to stimulation of beta cells in the pancreas
Increases NMB agenst

27

If there is Renal impairment from malaria you should use what for muscular blocking

Cis-artacurium and artaccurium. avoid vec and panc.