Toxicology, Immunology, Infectious Flashcards

(48 cards)

1
Q

Mild alcohol withdrawal

A

Restlessness
Anxiousness
Sleeping problems
Agitation
Tremors

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2
Q

Severe Alcohol Withdrawal

A

Hypotension
Tachycardia
Vomiting
Hallucinations
Delirium Tremens

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3
Q

Withdrawal Seizures

A

12-48 hours of the last drink

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4
Q

Delirium Tremens

A

48-72 hours after the last alcohol intake

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5
Q

Cocaine

A

Local anesthetic
Nervous system stimulant
Tachycardia
Hypertension
Hyperthermia
Dilated pupils
Ventricular dysrhythmias

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6
Q

Benzodiazepines

A

Altered mentation
Drowsiness
Confusion
Slurred speech
Ataxia
General loss of coordination
No pupillary response

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7
Q

Narcotic

A

Euphoria
Hypotension
Respiratory depression
Pinpoint pupils
Coma
Seizures

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8
Q

Sodium channel blocker toxicity

A

Prolonged QRS
Prolonged QT
Hypotension secondary to depressed
Myocardial contractility
Ventricular dysrhythmias

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8
Q

Sodium channel blocker toxicity

A

Prolonged QRS
Prolonged QT
Hypotension secondary to depressed
Myocardial contractility
Ventricular dysrhythmias

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9
Q

Beta-adrenergic blocker toxicity

A

Hypotension
Bradycardia
Related symptoms such as lethargy, weakness, shortness of breath, and possible seizures
Hypoglycemia, especially in pediatric patients
Bronchospasm

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10
Q

Potassium channel blocker toxicity

A

Hypotension
Bradycardia
Certain ventricular dysrhythmias (Torsades)
Prolonged QT interval

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11
Q

Calcium channel blocker toxicity

A

Decreased pulse rate
Decreased AV nodal conduction
Decreased myocardial contractility
Vasodilation
Nausea and vomiting
Altered mental status
Metabolic acidosis

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12
Q

Organophosphate poisoning

A

S.L.U.D.G.E.M

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13
Q

Organophosphate Antidote

A

Atropine 1-2mg IVP q 3-5 min
1-2g IV q 15-30 min

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14
Q

Narcotic Antidote

A

Narcan .04-2mg IVP as needed for respiratory depression

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15
Q

Benzodiazepines Antidote

A

Romazicon/Flumazinil

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16
Q

Tylenol Antidote

A

Mucomyst/acetylcysteine

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17
Q

Carbon Monoxide Poisoning

A

Displaces oxygen from hemoglobin in red blood cells
Headache
Fatigue
Nausea
Tachypnea
Tachycardia
Confusion
Cherry red skin

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18
Q

Tricyclic Antidepressant Overdose

A

Hyperthermia, dilated pupils, dry skin and mucous membranes, reddened skin, and agitation or delirium.
ECG changes.
Prolonged PR interval
Tachycardia
Widening QRS
Terminal R wave greater than 3 mm in aVR
Prolonged QT interval
Altered mental status, delirium, and seizures

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19
Q

Cyanide

A

Combines with a crucial cellular enzyme (cytochrome oxidase), which blocks utilization of oxygen at the cellular level
Headache
Nausea
Vomiting
Anxiety
Vertigo
Weakness
Dyspnea

20
Q

Salicylates Overdoe

A

Vomiting
Diaphoresis
Hyperpnea
Ringing in the ears (tinnitus)
Pulmonary edema
Acid-base disturbances

21
Q

Anaphylactic Reaction

A

An allergic response of 2 or more body systems IgE medicated response

22
Q

Anaphylactiod Reaction

A

An allergic response of 2 or more body systems
No IgE mediated response

23
Q

Allergic Reaction

A

An allergic response involving 1 body system

24
Pruritus
Severe itching
25
Urticaria
Hives
26
Benadryl
First medication for allergic reaction
27
Epi
First medication for anaphylaxis
28
Lupus
Multisystem autoimmune disease that affects the entire body Suspect in women of childbearing age with fever, rash, and joint pain
29
Scleroderma
Autoimmune connective tissue disease that causes fibrotic changes to the skin, blood vessels, muscles, and internal organs
30
Heart transplant
Denervation of the vagus nerve. Signs and symptoms of rejection are subtle and may require a biopsy to confirm.
31
Liver Transplant
Watch for infection, especially opportunistic infection. Observe for jaundice and palpate for tenderness over the site.
32
Kidney Transplant
Fever Tenderness and swelling over the implanted organ Hypotension is a common complication.
33
Lung Transplant
Rejection Cough Dyspnea Fever Rales
34
Pancreas Transplant
More complications and a lower survival rate at 1 year than other single-organ transplants
35
Meningitis
Headache Fever Photosensitivity Nuchal rigidity
36
Seasonal Influenza
Systemic fever Shaking chills Headache Malaise Loss of appetite Respiratory symptoms
37
Pertussis
Highly contagious. Thick nasal discharge Cough that progresses to coughing spasms Whooping sound with inspiration after coughing spasm
38
Mumps
Fever Headache Muscle aches Swelling of salivary glands unilaterally or bilaterally
39
Tuberculosis
Persistent cough for more than 3 weeks plus one or more of the following: Night sweats Headache Fever Weight loss Hemoptysis
40
Varicella Zoster (chickenpox)
Listlessness Slight fever Photosensitivity Vesicular rash
41
Measles
Fever Blotchy red rash White-gray spots on the buccal mucosa
42
Mononucleosis
Sore throat Fever Secretions from the pharynx Swollen lymph glands Malaise Headache Enlarged liver and spleen
43
AIDS
Acute febrile illness Malaise Swollen lymph glands Headache Rash Opportunistic Infections
44
Norovirus
Nausea Forceful vomiting Watery diarrhea Abdominal pain Weakness Low-grade fever
45
Shingles
Reactivation of varicella zoster Painful Unilateral vesicular rash
46
SARS (severe acute respiratory syndrome)
Fever of greater than 100.4°F (38°C) Headache Body aches After 7 days, a dry cough 10 day quarantine if exposed
47
Hantavirus
Fever Headaches Vomiting Diarrhea Progressing to Cough with secretions Shortness of breath Fluid accumulation within the lungs