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Emergency Care 13th Ed. Chapter 21 - Poisoning and Overdose Emergencies Flashcards

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5184033589A _______ is any substance that can harm the body by altering cell structure or functionPoison0
5184033590A ______ is a poisonous substance secreted by bacteria, plants, or animalsToxin1
5184033591A poison acts as a _______ or an _______ inside the bodyCorrosive or irritant2
5184033592_______ poisons are those that are swallowed, such as household/industrial chemicals, medications, improperly stored or prepared foods, etc.Ingested3
5184033593______ poisons are poisons that are breathed in, such as household/industrial cleaners, carbon monoxide, ammonia, etc.Inhaled4
5184033594_______ means able to change very easily from a liquid into a gasVolatile5
5184033595_______ poisons are poisons that are taken into the body through unbroken skin, such as insecticides and agricultural chemicals, and contact with some plantsAbsorbed6
5184033596_______ poisons are poisons that are inserted through the skin, such as illicit drugs and venom from snake fangs or insect stingersInjected7
5184033597An ingested poison is often a toxic substance that a curious ______ eats or drinks, and a medication which an _______ has accidentally or deliberately overdosedChild, adult8
5184033598______ poisoning is caused by bacteria that grows on food when exposed to the right conditionsFood9
5184033599____________ is a substance that adsorbs many poisons and prevents them from being absorbed by the bodyActivated charcoal10
5184033600Patients who have ingested ______ or ______ should not take activated charcoal because the caustic material may have severely damaged the mouth, throat or esophogusAcids or alkalis11
5184033601Activated Charcoal Indications: Contraidications: Dose: Route: Effects: Side Effects:Activated Charcoal Indications: Poisoning by mouth Contraindications: AMS, Ingestion of acids or alkalis, inability to swallow Dose: Adults and children: 1 g/kg of body weight, Avg Adult - 25-50 g Child - 12.5-25 g Route: Oral Effects: Adsorbs certain poisons and prevents them from being absorbed by the body Side Effects: Black stools, vomiting (repeat dose if patient vomits)12
5184033602________ overdose is the most common cause of hospitalization of overdose patientsAcetaminophen13
5184033603After someone takes too much acetaminophen, the _______ becomes overwhelmed and unable to detoxify the substanceLiver14
5184033604_______ is thinning down or weakening by mixing with something else. Ingested poisons are sometimes diluted by drinking water or milkDilution15
5184033605An _______ is a substance that will neutralize the poison or its effectsAntidote16
5184033606An antidote that is available in most states is _______, which directly reverses narcotics' depressant effects on level of consciousness and respiratory driveNaloxone17
5184033607Naloxone Indications: Contraindications: Dose: Route: Effects: Side Effects:Naloxone Indications: Suspected narcotic overdose, coma of unknown cause Contraindications: Patient breathing adequately and able to maintain own airway Dose: 0.4-2.0 mg Route: Intranasal Effects: Reverses the effects of narcotics, including depressed LOC and respiratory depression Side Effects: May precipitate withdrawal in patient18
5184033608____________ is a common problem regarding inhaled poisonsCarbon monoxide19
5184033609If a patient is in an unsafe environment (carbon monoxide), have ____________ remove the patient to a safe areaTrained rescuers20
5184033610Administering ___________________ is the single most important treatment for inhaled poisoning after the patient's airway is openedHigh-concentration oxygen21
5184033611_____________ is one of the most commonly inhaled poisons, usually associated with motor-vehicle exhaust and fire suppressionCarbon monoxide22
5184033612The signs and symptoms of carbon monoxide poisonings mimic the _____Flu23
5184033613_______ is an antidote for carbon monoxide poisoning, but it takes time to wash out the carbon monoxide from the patient's bloodstreamOxygen24
5184033614"____________" are common in Japan, and feature a source of acid (household cleaner) and sulfur (pesticides)"Detergent Suicides"25
5184033615_______ poisons frequently irritate or damage the skinAbsorbed26
5184033616If an absorbed poison is in powder form, ______ the powder off the patientBrush27
5184033617If the absorbed poison is a liquid, irrigate with ___________ for at least ___ mins and continue en route if possibleClean water, 20 mins28
5184033618If the absorbed poison is in the eyes, irrigate with _____________ for at least ___ mins and continue en route if possibleClean water, 20 mins29
5184033619The most important part of the treatment of a patient with an absorbed poison is to get the poison off the skin or out of the eye. The best way to do this is by irrigating the skin or eye with __________ of clean waterLarge amounts30
5184033620"_________" acids or alkalis with solutions such as dilute vinegar or baking soda in water should never be done"Neutralizing"31
5184033621An EMT should only consult a poison control center when directed by ____________Local protocol32
5184033622________ refers to alcohol or drugs, in which the patient's body reacts severely when deprived of the abused substanceWithdrawal33
5184033623___________ (DTs) are a severe reaction that can be part of alcohol withdrawal, characterized by sweating, trembling, anxiety, and hallucinations. Severe alcohol withdrawal with DTs can lead to death if untreatedDelirium Tremens34
5184033624_____________ is a term that indicates that a chemical substance is being taken for other than therapeutic (medical) reasonsSubstance abuse35
5184033625_______ are stimulants that affect the nervous system and excite the user. Caffeine, amphetamines, and cocaine are examplesUppers36
5184033626_______ have a depressant effect on the central nervous system. May be used as a relaxing agent, sleeping pill, or tranquilizer. Barbituates, rohypnol, and GHB are examplesDowners37
5184033627_______ are drugs capable of producing stupor or sleep. Codeine, OxyContin, and heroine are examlesNarcotics38
5184033628The "Opiate Triad" consists of ____________ pupils, and _______ depressionComa, pinpoint, respiratory39
5184033629________ are mind-affecting drugs that act on the nervous system to produce an intense state of excitement or a distortion of the user's perceptions. LSD, PCP, and mushrooms are examplesHallucinogens40
5184033630______________ produce vapors that can be inhaled, giving the patient a "rush" then acting as a depressant on the central nervous system. Cleaning fluids, glue, model cement, and correction fluids are examplesVolatile chemicals41
5184033631Patients that abuse _______ display excitement, increased H/R and R/R, rapid speech, dry mouth, dilated pupils, sweating, and the complaint that they haven't gotten sleep in a long timeUppers42
5184033632Patients that abuse _______ are sluggish, sleepy patients lacking typical coordination of body and speech. H/R and R/R are typically low enough to be a true emergencyDowners43
5184033633Patients that abuse ______ have a reduced H/R and R/R and depth of breathing, which is often seen with a lowering of skin temperature. Pupils are often constricted, muscles relaxed, and sweating profuselyNarcotics44
5184033634Patients that abuse _______ have a rapid H/R, dilated pupils, and a flushed face. They often "see" or "hear" things, have little concept of real time, and may not be aware of their true environment. May be aggressive or very timidHallucinogens45
5184033635Patients that abuse ____________ may appear dazed or show temporary loss of contact with reality. May develop a coma. The lining of the nose and mouth may show swollen membranes. Changes in heart rhythm may occurVolatile Chemicals46

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