MDT ENVIRO

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  1. For an alkali poisoning what is the first thing to do
    Dilute with water or milk
  2. pH level goal when flushing out the eyes
    7.0
  3. Where should the poision control number be located
    • outside sickbay
    • outside the antidote locker
  4. You should train all non medical personal in emergency procedures dealing with Poisoning cases
    True
  5. Give some reasons to do a gastric lavage
    • Ingestion of CNS depressant
    • Collection of gastric contents
  6. If a patient inhales an acid what is the TX for it?
    • Fresh air
    • O2
    • Treat for pulmonary edema
  7. What is the treatment of an ingested alkali/acid poisoning
    • Dilute with H2O or milk, 200ml
    • numb with viscous lidocaine
  8. What is produced by bacterial action on sewage
    Hydrogen sulfide gas
  9. It is characterized by a rotten egg odor and has similar affects as cyanide poisoning
    Hydrogen sulfide gas
  10. A pt that is vasodilated from tx of poisoning, to prevent hypotension what would you give
    epinephrine
  11. What is the primary tx action for poisoning
    • Airway
    • Breathing
    • Circulation
  12. A poisoin that produces an irritation or inflamation
    Irritant
  13. What are the contraindications for emisis
    • drowsiness
    • unconsciounses
    • convulsions
    • corresive ingestion
    • petroleum distinalate injestion
    • convulsion causing esophageal blowout
  14. what is the correlation of in and out for gastric levage
    What goes in should equal what comes out
  15. What is something that soothes irritated tissue from
    injestion of poisons and name an example?
    • Demulcents
    • b. Egg whites beaten in 500 ml of water or milk
    • c. Thin mixture of flour or starch with water
  16. If an alkali gets into the eyes what is the Tx
    Flush eyes till pH 7.0
  17. Tx for Isopropyl alcohol, when should you not inducE vomiting
    If respiratory depression is present
  18. What is not an affective tx for isopropyl alcohol
    Activated charcoal
  19. TX for hydrocarbons
    Dilution
  20. A Tx for methanol ingestion which will prevent metabolism
    Ethanol
  21. Fish poisoning caused by red tide and usually happens at certain times of the year primarily tropical fish
    Ciguatera
  22. Rattle snakes, copperheads, and water moccosins are what type of snakes
    Crotalidae (pit vipers)
  23. What is a main S/S of Hydrophidae (sea snake) venom
    Rapid ascending paralysis
  24. TX for marine life envenimation when the antidote is not available
    Hot water neutralizes venom
  25. LAtrodectus
    Widow spiders
  26. Loxosceles
    • Recluse spiders
    • cytotoxic venom
  27. Tengeneria
    Hobo spiders
  28. Atrax
    Funnel web spiders
  29. TX for loxosceles bites
    Cut out necrotic tissue
  30. S/S for tynganaria bite
    Blister will rupture within 36 hours
  31. What is the TX for a jelly fish sting
    Meat tenderizer, papaine
  32. What is the amount of calories that should be ingested in a cold enviroment
    12000
  33. tx for bends/ Cassion disease (decompression sickness)
    immediate recompression
  34. MAjor concern for salt water aspiration
    Affects on salt water sulfactant
  35. Defining temp for heat stroke
    106
  36. While diving pt notes sinus pain while submerged and blood or serosinus fluid in mask
    Sinus squeeze
  37. What antidote do you give for opiate poisening
    Narcan (naloxone) 2mg IV Q3min
  38. What is the TX for barbituate poisoning?
    • ConScious-Activated charcoal lavage
    • Unconscious- vitals, neuro checks, R+ET suctioning, I-O
  39. What is the antidote for somebody having anticholinergictoxicity (such as atropine/tricyclics)?
    • Physostigmine salicylates 0.5-2 mg IV initially
    • over 5 minutes; repeat Q30-60mins PRN
  40. What are some mild signs and symptoms of organophosphate
    toxicity?
    • a. Substernal discomfort
    • b. Anxiety
    • c. Tremor
  41. What is the antidote treatment for organophosphate toxicity?
    • a. Atropine 2 mg IM Q5-10mins
    • b. Pralidoxime (2-PAM) 1 gm over 5-10 minutes
  42. What do you give for treatment of amphetamines?
    Diazepam 5 mg IV
  43. What type of poison directly destroys tissue
    Corrosive
  44. This is a poisonous substance secreted by an animal or
    insect.
    Venom
  45. This describes the quality or degree of being poisonous.
    Toxicity
  46. This is any substance which when ingested, inhaled, applied (topically), injected, or developed within the body in small amounts, may cause structural damage or functional disturbance.
    Poison
  47. What is the quickest method to remove contents from the GI tract, but is no longer routinely used?
    Emesis
  48. To initialize emesis, what do you give a patient?
    • 15-30 cc’s of Syrup of Ipecac
    • b. 1-2 glasses of room temperature water
  49. What is the antidote for acetaminophen?
    Acetylcysteine
  50. What is the antidote for hydrofluoric acid?
    Calcium gluconate
  51. What is the antidote for hydrogen sulfide?
    Amyl nitrite ampule, 300 mg IV, slow infusion
  52. What do you give for somebody suffering a seizure after
    ETOH poisoning?
    Diazepam
  53. What snakes are elapidae?
    • a. Corals
    • b. Mambas
    • c. Cobras
  54. What is considered a helodermae?
    Gila monster
  55. This type of spider is found in 25 states and worldwide,
    inhabit dark quiet areas, have medium dark to yellow color with a violin shape on their back and has cytotoxic venom.
    Recluse
  56. What types of fish are classified as Coelenterates
    • a. Corals
    • b. Sea anemones
    • c. Jellyfish
    • d. Portuguese Man O’War
  57. How does the puncture wound look for the blue ringed
    octopus?
    2 small puncture wounds
  58. What temperature does the water have to be for treating octopus wounds?
    113-122 degrees F
  59. What is another name for an Echinoderm?
    Sea urchins
  60. How does the wound look for an Echinoderm “bite”?
    Black and blue” (characteristic)
  61. What are the different venomous spiny fish?
    • a. Stone fish
    • b. Zebra fish
    • c. Lion fish
  62. What medications do you avoid to prevent cold injuries
    because they promote peripheral vascularity?
    • Morphine
    • b. Thorazine
    • c. Barbiturates
    • d. CNS depressants
  63. What type of hypothermia has a temperature of 94-97 degrees?
    Mild
  64. What type of hypothermia has a temperature of 86-94
    degrees?
    . Moderate
  65. How does a patient present with mild hypothermia?
    • Conscious, but mild to moderate clouding
    • b. Shivering is present, but diminished
  66. How does a patient present with moderate hypothermia?
    • Severe clouding, may be unconscious
    • b. Shivering replaced by muscle rigidity
  67. For external re-warming, what must the temperature of the bath water be
    104-107.6
  68. How warm should the oxygen be for heated humidified
    oxygen?
    110-115
  69. This is a result of intermittent exposure to temperatures above freezing accompanied by high humidity (32-35 degrees F)
    Chillblains
  70. 53.This is a complication of Chillblains after 12 hours to
    3 days of exposure that affects finger, toes, and ears without freezing?
    Pernio
  71. What are the two phases of cold water immersion syndrome
    (trench foot)?
    • Hyperemic – hot with intense burning
    • Vasospastic – pale or cyanotic with diminished
    • pulses
  72. When the skin is red and yields to pressure, what would
    you diagnose them with?
    First degree frostbite
  73. A patient presents with white and cold skin, that yields to pressure. What is their diagnosis?
    Second degree frostbite
  74. 57.How does a patient present with third degree frostbite?
    • Deep reddish-purple skin with or without blistering
    • b. Vesicles are deep and contain blood
  75. The skin is hard and white in this
    Fourth degree frostbite
  76. How can you prevent a heat injury?
    • Physical conditioning
    • b. Fluid and salt intake c.
    • Acclimatization (8-10 days)
    • d. Proper clothing
    • e. Avoid alcohol and CNS depressants
    • f. Avoid fatigue and infections
    • g. Drink water
  77. This condition is due to inadequate or collapse of peripheral circulation secondary to salt depletion and dehydration where you only take in 1-2 liters per hour and usually occurs in those with underlying disease.
    Heat exhaustion
  78. This is a true medical emergency characterized by uncontrolled elevation of core body temp due to the failure of the hypothalamus.
    Heat stroke
  79. With this, the body temp is 106 or higher and the skin
    is hot, dry and flushed.
    Heat stroke
  80. What is the sequence of events for drowning?
    • Hypoxemia
    • b. Laryngospasm
    • c. Fluid aspiration ineffective circulation
    • d. Brain injury
    • e. Brain death (5-10 minutes)
  81. This is an occupational hazard of divers where dissolved
    gases (nitrogen) saturate tissues from an increase in water pressure, escape as gas bubbles during ascent.
    Decompression sickness
  82. What gas saturates the tissues in decompression
    sickness?
    Nitrogen
  83. By how much does the water pressure increase by when you dive?
    One atmosphere every 33 feet
  84. This is due to gas entering the arterial system and
    becomes a blockage or emboli; CNS and heart are the most susceptible.
    Arterial gas embolism (AGE)
  85. 71.What are the signs and symptoms of AGE?
    • Sudden onset
    • Dizziness
    • Paralysis or weakness
    • Blurred vision
    • Parasthesias
    • Convulsions
    • Dyspnea
    • Chest pain
  86. How do you treat somebody suffering from an AGE?
    • Immediate recompression
    • ABC’s
    • O2
    • MEDEVAC
  87. This is a collapsed lung.
    Pnumothorax
  88. What are the signs and symptoms of a pneumothorax?
    • Sudden onset of chest pain radiating to the
    • shoulder or back
    • Dyspnea
    • Tachypnea
    • Diminished or absent breath sounds
    • Paradoxical respirations
  89. What are the signs and symptoms of a pulmonary embolism?
    • Abrupt onset
    • Dyspnea
    • Cough
    • Hemoptysis (most common complaint)

Card Set Information

Author:
 dabrojr
ID:
 84211
Filename:
 MDT ENVIRO
Updated:
2011-05-19 06:49:17
Tags:
MDT Enviroment health
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Description:
ENVIROMENTAL HEALTH MDT
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