EMT Chapter 21: Toxicology Flashcards
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Questions and Answers

A 25-year-old man overdosed on heroin and is unresponsive. His breathing is slow and shallow and he is bradycardic. He has track marks on both arms. What should the EMT do?

  • Administer naloxone via the intramuscular route
  • Administer naloxone via the intranasal route
  • Insert a nasal airway and ventilate with a BVM (correct)
  • Position the patient on his side and transport
  • A 4-year-old, 15-kg male ingested an unknown quantity of acetaminophen (Tylenol). What should the EMT do?

  • Administer high-flow supplemental oxygen
  • Contact medical control for guidance
  • Administer 15g of activated charcoal (correct)
  • Give the child milk to absorb the Tylenol
  • Activated charcoal may be indicated for a patient who ingested which substance?

  • Aspirin (correct)
  • Iron
  • Ethanol
  • Methanol
  • Airborne substances should be diluted with:

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

    Before giving activated charcoal, what should you do?

    <p>Obtain approval from medical control</p> Signup and view all the answers

    In general, injected poisons are impossible to dilute or remove because they:

    <p>Are usually absorbed quickly into the body</p> Signup and view all the answers

    Signs and symptoms of a sympathomimetic drug overdose include:

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

    The poison control center will provide you with the most information regarding the appropriate treatment for a patient with a drug overdose if it:

    <p>Is aware of the substance that is involved</p> Signup and view all the answers

    An overdose of acetaminophen, the active ingredient in Tylenol, will MOST likely cause:

    <p>Liver failure</p> Signup and view all the answers

    Hypotension, hypoventilation, and pinpoint pupils would be expected following an overdose of:

    <p>Oxycodone (Percocet)</p> Signup and view all the answers

    Study Notes

    Heroin Overdose Management

    • In cases of heroin overdose, the patient may show unresponsiveness, slow and shallow breathing, and bradycardia.
    • The initial intervention involves inserting a nasal airway and using a bag-valve mask (BVM) for ventilation.

    Pediatric Acetaminophen Ingestion

    • A 4-year-old child who ingested an unknown amount of acetaminophen requires activated charcoal administration to prevent absorption of the drug.
    • Always contact medical control for guidance before administering activated charcoal.

    Activated Charcoal Indications

    • Activated charcoal is effective for treating certain ingestions, particularly aspirin, but is not indicated for iron, ethanol, or methanol.

    Airborne Poison Management

    • Airborne toxic substances should be diluted with oxygen to minimize their effects.

    Medical Control Approval for Activated Charcoal

    • Prior to administering activated charcoal, EMTs must obtain approval from medical control to ensure proper treatment protocols are followed.

    Injected Poisons Characteristics

    • Injected poisons tend to be absorbed quickly into the body, making dilution or removal challenging in emergency situations.

    Sympathomimetic Overdose Symptoms

    • Key symptoms of a sympathomimetic drug overdose include tachycardia, indicating increased heart rate as a primary sign.

    Poison Control Assistance

    • The poison control center provides critical treatment information for drug overdose cases when they have clarity on the specific substance involved, enhancing treatment accuracy.

    Acetaminophen Overdose Consequences

    • An overdose of acetaminophen can lead to severe liver failure, a serious and potentially fatal condition.

    Oxycodone Overdose Symptoms

    • In cases of oxycodone (Percocet) overdose, symptoms may include hypotension, hypoventilation, and pinpoint pupils, reflecting the depressant effects on the central nervous system.

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    Description

    Test your knowledge on toxicology as it applies to emergency medical services. This quiz covers critical interventions for overdose cases, including various routes of naloxone administration and airway management. Perfect for EMT students preparing for examinations.

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