unit 11 quiz/test Flashcards

1
Q

what is poison

A

substances that when inhaled, injected, ingested, or absorbed in small quantities cause illness or death

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2
Q

how should you initially respond to poisonings

A

get a general overview, conduct a head to toe exam and attempt to get history SAMPLE, try to get a sample of the substance

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3
Q

ingested poisons. how are they taken in, what do they affect, signs, treatment.

A

taken in by mouth and affect digestive system. nausea, vomiting, changes in LOR, blisters/burns around mouth. seizures, abdominal pain, drooling, diarrhea. to treat do NOT induce vomiting, call poison control and 911, potential stomach pump or dose of activated charcoal (used to prevent absorption into bloodstream).

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4
Q

inhaled poisons. how are they taken in, what do they affect, types and signs

A

enters through nose or mouth, affects respiratory system. includes Carbon Monoxide, Ammonia, and Chlorine gases. CO2 poisoning results in headache, confusion, lethargy, cherry red lips and multiple patients with same symptoms. ammonia and chlorine poisoning results in violent coughing, burns around nose and mouth

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5
Q

how do you treat the multiple kinds of inhaled poisons

A

in all inhaled poisonings, remove from the area and called 911 while giving high flow oxygen in nonrebreather mask

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6
Q

what causes the multiple kinds of inhaled poisonings

A

CO2 results from combustion in cars and furnaces, generators, and smoke. It leads to death by attaching to hemoglobin in place of oxygen, creating hypoxia. ammonia poisoning results from agricultural chemicals, and chlorine poisoning results from swimming pool chemicals and water treatment plants

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7
Q

injected poison. how does it enter, what does it effect, signs and treatment

A

enters body through punctures in skin. affects integumentary system. results in anaphylaxis, swelling, itchiness, redness, pain, and obvious site of puncture. to treat, do NOT squeeze. wash with soap and water, ice, and monitor.

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8
Q

how should you remove stingers

A

scrape across it with a hard, flat surface. do NOT use tweezers

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9
Q

what are the signs of a snake bite and how do you treat

A

swelling, redness, bleeding, pain. in the case of a coral snake, potential respiratory distress, seizures, paralysis, and coma. to treat, immobilize the area to prevent venom entering and circulating in the lymphatic system. keep the patient calm to slow their heart, clean the wound with soap and water, and call 911.

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10
Q

absorbed poisons. how do they enter, what do they effect, signs, treatment

A

absorbed through skin, affects the integumentary system. causes redness, swelling, itchiness in the case of plant exposure. chemical exposure causes burns and difficulty breathing. to treat, do NOT touch, call poison control and 911 if necessary. remove clothes, if it is a dry power ensure to brush it off before rinsing.

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11
Q

alcohol

A

a depressant to the nervous system causing behavioral changes and inhibition of self control. signs of intoxications are loss of coordination, slurred speech, and odor on breath with nausea and vomiting.

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12
Q

how should you respond to an intoxicated patient

A

monitor and place in recovery position, protect airway from the aspiration of vomit.

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13
Q

what are symptoms of alcohol withdraw

A

headache and upset stomach, moderately increased BP and respiratory rate. in severe withdraw, you see delirium tremens which causes seizures and hallucinations

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14
Q

stimulants

A

nicotine, meth, cocaine, caffeine. cause euphoria and rapid heartbeat, confidence and mood swings with anxiety, dehydration. strong stimulants might cause increased heart rate and irritability, hallucinations, self harm, and diaphoresis. nicotine use leads to vasoconstriction and heart palpitations.

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15
Q

opioids

A

codeine, oxycodone, percocet, morphine, heroine, and fentanyl. causes a decrease in pain signals to the brain. results in slow respirations, cyanosis, and pinpoint pupils. to treat, assist with breathing using a BV mask, administer narcan (you may give multiple doses)

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16
Q

what are some predispositions for addication

A

genetics, mental illness, poor social skills, trauma, unstable family, and social environment/peer pressure

17
Q

what are hallucinogens

A

drugs that cause hallucinations. examples are shrooms and acid. signs include hallucinations, paranoia, anxiety, increased temperature, self harm, seizures, and euphoria. to treat, monitor while ensuring your safety and the safety of the affected person. call 911 and decrease stimulation by placing them in a dark, quiet room

18
Q

signs of abused inhalants

A

signs of huffing chemicals include slurred sppech, hallucinations, vomiting, hypoxia, burns on face, cardiac arrest. to treat, call 911 and monitor while placing in recovery position

19
Q

what are some potentially abnormal behaviors? what could they be caused by?

A

sadness, anger, panic, suicidal ideation, violence. could be caused by trauma, drugs, medication, mental illness, or situational crises

20
Q

how should you respond to behavioral emergencies

A

do the primary assessment sequence including scene size up, checking safety and LOR and CAB and obtaining history. in the secondary assessment, determine if they are at risk of harming themselves.

21
Q

what is the definition of a situational crisis. what must you keep in mind and be prepared for?

A

emotional instability due to unexpected or sudden event. understand that traditional coping mechanisms may not work and that the patient may go through stages or response to traumatic events including shock/anxiety, denial, anger, and grief.

22
Q

what are communication skills that will help you respond to situational crises

A

active listening, restatement to validate the patient, refocus the patient on their current situation, use empathy

23
Q

how should you respond in large crowds

A

ensure your safety , call law enforcement if there is danger, remove patients you are treating from the crowd

24
Q

how should you respond to domestic violence, what are signs

A

ensure your safety. signs including bruising, abnormal injury patterns, fearfulness, depression, frequent injuries.

25
Q

how should you respond to threatening behaviors

A

watch the body language of the patient and look for signs of anger such as pacing. ask if there is a weapon. call law enforcement and keep the exit at your back. maintain a calm appearance and eye contact

26
Q

what should you do if a patient has attempted suicide

A

call 911 and determine if there is a weapon. use communication skills. patients who have attempted suicide can not refuse care.