Decontamination & Hemodialysis Concepts Quiz
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Questions and Answers

What is the first step when a patient is covered in a toxic contaminant?

  • Initiate hemodialysis immediately
  • Perform gastric lavage without intubation
  • Administer ipecac to induce vomiting
  • Conduct decontamination followed by resuscitation (correct)

    • For which of the following substances is activated charcoal not effective?

  • Metals (correct)
  • Salicylates
  • Alcohols
  • Hydrocarbons

    • Which of the following conditions requires whole-bowel irrigation?

  • Acetaminophen overdose
  • Lithium ingestion (correct)
  • Beta blocker overdose
  • Aspirin overdose

    • Which of the following substances can be removed with hemodialysis?

    <p>Alcohols</p> Signup and view all the answers

    What is the recommended approach when there is concern for secondary contamination from a caustic or other chemical?

    <p>Use copious amounts of water or 0.9% sodium chloride to decontaminate the skin and eyes</p> Signup and view all the answers

    What is the recommended treatment for QRS widening suggestive of sodium channel blockade agent poisoning?

    <p>Sodium bicarbonate 8.4% 1-2 mEq/kg intravenous push as a bolus</p> Signup and view all the answers

    What is the recommended initial treatment for hypotension/shock due to calcium channel or beta blocker toxicity?

    <p>Give an isotonic crystalloid bolus intravenously at a dose of 20 mL/kg</p> Signup and view all the answers

    In undifferentiated poisoned patients, what is the recommended non-depolarizing paralytic for rapid sequence intubation (RSI)?

    <p>Rocuronium</p> Signup and view all the answers

    What is the recommended dose of 50% dextrose for hypoglycemia?

    <p>25 g intravenously</p> Signup and view all the answers

    In patients with bradycardia and hypotension, which type of poisoning should be considered as a possible cause?

    <p>Beta blocker poisoning</p> Signup and view all the answers

    What is the recommended initial treatment for hypotension/shock due to calcium channel or beta blocker toxicity?

    <p>Administer a direct-acting vasopressor (eg, norepinephrine) if hypotension is refractory to intravenous fluids</p> Signup and view all the answers

    For which of the following conditions should intramuscular, intraosseous, and intranasal options be considered if IV access is not immediately available?

    <p>Hypotension/shock due to calcium channel or beta blocker toxicity</p> Signup and view all the answers

    What is the recommended non-depolarizing paralytic for rapid sequence intubation (RSI) in undifferentiated poisoned patients?

    <p>Rocuronium</p> Signup and view all the answers

    What should be administered for QRS widening suggestive of sodium channel blockade agent poisoning?

    <p>Sodium bicarbonate 8.4% 1-2 mEq/kg intravenous push as a bolus</p> Signup and view all the answers

    What is the recommended first step when a patient covered in a toxic contaminant is unable to protect their airway?

    <p>Establish an early definitive airway</p> Signup and view all the answers

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