Toxicology Emergencies Flashcards

Question

Antagonist

Answer 1

Affinity for a cell receptor preventing the cell from responding.

Answer 2

Enhances the effect of one drug by another

Answer 3

The total effect of two drugs are greater than the sum of the independent effects of the two.

Answer 4

1g/kg Adults : 25-50 Children : 12.5 - 12.5

Answer 5

Ingested acid, alkali, or petroleum product Decreased LOC Cannot protect their airways Unable to swallow

Answer 6

``` Restlessness Anxious Sleeping disturbances Agitation Tremors ```

Answer 7

Increased BP Vomiting Hallucinations Delirium tremens

Answer 8

Delirium resulting in tremors, restlessness, weakness, fever, diaphoresis, disorientation, hallucinations, confusion, hypotension, seizures, and possibly death.

Answer 9

``` Subdural hematoma GI bleeding Pancreatitis Hypoglycemia Burns Hypothermia Seizures Dysrhythmias Cancer Esophageal varices ```

Answer 10

Establish and maintain airway Gag reflex present left lateral recumbent w/ suction ready Non gag reflex - airway adjunct and vent BVM High-concentration oxygen Vascular access Asses blood sugars Suspect internal bleeding if s/s shock

Answer 11

``` Keep pt calm Administer oxygen via nasal cannula Vascular access Manage hypotension w/ infusion of nl saline Reassess breath sounds Maintain ongoing dialogue ```

Answer 12

w/in 12-48 hours of last drink

Answer 13

Drug that produces sleep or AMS

Answer 14

Opiate - natural drugs derived from opium | Opioid - synthetics

Answer 15

``` Morphine Codein Heroin Fentanyl Oxycodone Meperidine Propoxyphene Dextromethorphan ```

Answer 16

Major effects on the CNS by binding with receptor sites in the brain and other tissues

Answer 17

Place OPA or NPA and vet w/ BVM

Answer 18

Nasal : effects w/ 1-2 minutes and peaks in 20-30 minutes | Inhalation : onset 8-10 seconds and does not last as long

Answer 19

``` Lethal dysrhythmias AMI Seizures CVA Apnea Hyperthermia ```

Answer 20

Maintain max oxygen levels Prevent seizures w/ adequate sedation Monitor serial vital signs IV access Manage hypotension w/ fluid infusion of nl saline Call ALS backup for medication administration of benzo

Answer 21

``` Bronchodilation Slight tachycardia Euphoria Drowsiness Decreased short-term memory Diminished motor coordination Increased appetite Bloodshot eyes ```

Answer 22

Supportive care

Answer 23

``` Psychosis Hallucinations Tachycardia Vomiting Renal problems Seizures ```

Answer 24

Supportive care w/ fluids and airway maintenance. | Call ALS if seizures occur for medication administration

Answer 25

``` Secure the patient well Assess ABCDEs Manage life threats Administer oxygen IV access Safe transport to facility Call ALS for benzo administration to help calm agitated pt ```

Answer 26

``` Pay attention to ABCDEs Administer oxygen therapy Monitor vital signs Provide positive psychological support Provide safe transport IV access ```

Answer 27

``` Similar to ETOH intoxication Drowsiness Decreased inhibitions Ataxia Mental confusion Staggering gait ```

Answer 28

Lethargic | Low level of responsiveness or unresponsiveness

Answer 29

Sedation Reduction of anxiety Relaxation of striated muscle

Answer 30

``` AMS Drowsiness Confusion Slurred speech Ataxia General incoordination ```

Answer 31

Tachycardia Tremulousness Confusion Seizures

Answer 32

Anxiety, seizures, ETOH withdrawal

Answer 33

Sleep aids, antianxiety, seizures

Answer 34

Airway management first priority Administer high-concentration oxygen IV access Shock - rapid infusion of 20-mL/kg bolus of nl saline and repeated doses up to 2L PRN

Answer 35

``` Hypotension Weakness or confusion N/V Rhythm disturbance Headache Difficulty breathing ```

Answer 36

``` Patent airway Adequate vent Administer high-flow oxygen IV access Sequential fluid boluses of nl saline for HTN Contact medical control ```

Answer 37

``` Antidysrhythmics Beta-blockers Calcium-channel blockers Cardiac-channel blockers Cardiac glycosides Angiotensin-converting enzyme inhibitors ```

Answer 38

``` AMS Dysrhythmias Dry mouth Blurred vision or dilated pupils Urinary retention Constipation Pulmonary edema ```

Answer 39

Maintain airway. Insert advanced airway if deterioration Call ALS for cardiac monitoring, intubation, and medication administration. Administer high-flow supplemental oxygen IV access Administer activated charcoal per medical control Manage hypotension with boluses of nl saline Assess blood sugars. Administer dextrose 50% in water.

Answer 40

Hyperactivity Sinus tachycardia Hyperventilation Nystagmus ``` Chest pain Palpitations HTN Diaphoresis Agitate or combative behavior Hyperthermia Hallucinations ```

Answer 41

Establish and maintain airway Administer high-flow oxygen or provided positive pressure vent IV access Consider activate charcoal if recommended by medical control Treat HTN with fluid boluses of nl saline Call ALS for seizures to administer medications

Answer 42

``` N/V Sinus tachycardia Sedation Tremors Dilated pupils Agitation BP changes Seizures Hallucinations ```

Answer 43

``` Establish and maintain airway Administer high-flow oxygen IV access Call ALS PRN Consider single dose of activated charcoal ```

Answer 44

N/V Hand tremors Excessive thirst Slurred speech ``` Ataxia Muscle weakness Incoordination Blurred vision Hyperreflexia Seizures Coma ```

Answer 45

Establish and maintain airway, insert advanced airway if needed. Administer high-flow oxygen IV access Administer serial boluses of nl saline if hypotensive

Answer 46

``` Headache AMS Behavioral changes Seizures Bradydysrythmias Hypotension ABD pain N/V ```

Answer 47

Establish and maintain airway, insert advanced airway if needed Administer high-flow oxygen IV access Administer fluid bolus of nl saline if hypotensive Consider ALS if hypotension continues

Answer 48

``` N/V ABD pain Diaphoresis Hyperpnea Tinnitus Pulmonary edema Acid-base disturbances ``` Metabolic acidosis Respiratory alkalosis-metabolic acidosis

Answer 49

Establish and maintain airway, insert advanced airway PRN Administer high-flow oxygen IV access Administer serial boluses of nl saline if hypotensive Monitor CO2 levels One dose of activated charcoal after consulting medical control

Answer 50

Administer high-flow oxygen IV access Recent ingestions - consider activate charcoal after medical control consult

Answer 51

CNS depression Disinhibition Passivity Antegrade amnesia

Answer 52

Establish and airway management, insert an advanced airway if needed Carefully monitor LOC Assist breathing as necessary and administer high-flow oxygen IV access Provide rapid transport

Answer 53

Overstimulate normal body functions controlled by parasympathetic nerves.

Answer 54

``` Decontaminate and remove all clothing Establish and maintain the airway Suction PRN Administer high-flow oxygen IV access Call ALS for medication administration and cardiac monitoring. Transport immediately ```

Answer 55

Remove pt from environment Establish and maintain airway, insert advanced airway PRN Administer high0flow oxygen with tight-fitting nonrebreather IV access Keep patient quiet and rest Monitor LOC

Answer 56

Establish and maintain airway, inserting an advanced airway Administer high-flow oxygen IV access with saline or hep lock Only administer fluids if hypotensive

Answer 57

``` AMS Mood changes Memory deficit Sleep disturbances Headache Seizures Ataxia ABD pain Renal insufficiency HTN Gout Anemia ```

Answer 58

ABD pain Vomiting Diarrhea Hypotension

Answer 59

Burning sensation of eyes, nose, and through with slight cough. ``` Chest tightness Choking Paroxysmal cough Headache N/V Diffuse wheezing Cyanosis Crackles Shock Seizures Loss of conscious ```

Answer 60

Remove from exposure Prioritize breathing Irrigate burning or itching eyes with water

Answer 61

Abd pain and cramping | N/V/D

Answer 62

Establish and maintain the airway, inserting advanced airway PRN Administer high flow oxygen IV access Fluid boluses w/ nl saline if hypotensive Call ALS for backup PRN

Toxicology Emergencies Flashcards

(88 cards)