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Questions and Answers
Which of the following is a sign of injected toxins?
Which of the following is a sign of injected toxins?
What is the first step in emergency medical care for inhaled toxins?
What is the first step in emergency medical care for inhaled toxins?
Which of the following types of toxins enters the body through a puncture?
Which of the following types of toxins enters the body through a puncture?
Which should be done when caring for a patient with absorbed toxins?
Which should be done when caring for a patient with absorbed toxins?
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Which of these is NOT a symptom of injected toxins?
Which of these is NOT a symptom of injected toxins?
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What action should be taken regarding poison agents when a patient with toxin exposure is transported?
What action should be taken regarding poison agents when a patient with toxin exposure is transported?
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During emergency care, which step is essential when the patient is vomiting?
During emergency care, which step is essential when the patient is vomiting?
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Which type of toxin can typically be associated with insect bites or stings?
Which type of toxin can typically be associated with insect bites or stings?
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When assessing a patient for intoxication, which symptom indicates serious concern?
When assessing a patient for intoxication, which symptom indicates serious concern?
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What is an appropriate first response for a patient exposed to absorbed toxins?
What is an appropriate first response for a patient exposed to absorbed toxins?
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What defines a toxin?
What defines a toxin?
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What is the primary mechanism of action of activated charcoal in cases of poisoning?
What is the primary mechanism of action of activated charcoal in cases of poisoning?
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Which of the following is NOT a sign of ingested toxins?
Which of the following is NOT a sign of ingested toxins?
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Which of the following describes a type of toxin that can be managed in emergency situations?
Which of the following describes a type of toxin that can be managed in emergency situations?
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What is the first step in the emergency medical care for ingested toxins?
What is the first step in the emergency medical care for ingested toxins?
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What should be done if a patient vomits after being administered activated charcoal?
What should be done if a patient vomits after being administered activated charcoal?
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What should be done if activated charcoal is to be administered?
What should be done if activated charcoal is to be administered?
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Which symptom indicates exposure to inhaled toxins?
Which symptom indicates exposure to inhaled toxins?
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Which side effect is commonly associated with the use of activated charcoal?
Which side effect is commonly associated with the use of activated charcoal?
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What is an important consideration when using different brands of activated charcoal?
What is an important consideration when using different brands of activated charcoal?
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Which of the following is an important consideration when providing emergency care for poisoning?
Which of the following is an important consideration when providing emergency care for poisoning?
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What is the recommended action if a scene is unsafe during an emergency call for poisoning?
What is the recommended action if a scene is unsafe during an emergency call for poisoning?
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When administering activated charcoal, what should be done if the patient takes a long time to drink the medication?
When administering activated charcoal, what should be done if the patient takes a long time to drink the medication?
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What should emergency medical personnel be prepared for when treating a patient with poisoning?
What should emergency medical personnel be prepared for when treating a patient with poisoning?
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Which condition is a sign of absorbed toxins?
Which condition is a sign of absorbed toxins?
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What is a critical component of airway management in cases of poisoning?
What is a critical component of airway management in cases of poisoning?
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Which of the following would NOT be relevant to ask when assessing a patient for poisoning?
Which of the following would NOT be relevant to ask when assessing a patient for poisoning?
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Which sign might indicate that activated charcoal has been successfully administered?
Which sign might indicate that activated charcoal has been successfully administered?
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What does SAMPLE stand for in the context of focused history for poisoning?
What does SAMPLE stand for in the context of focused history for poisoning?
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What is the first action to take for skin contamination by a toxin?
What is the first action to take for skin contamination by a toxin?
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Which method is recommended for irrigating a liquid toxin from the eyes?
Which method is recommended for irrigating a liquid toxin from the eyes?
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What is a primary indication for the use of activated charcoal?
What is a primary indication for the use of activated charcoal?
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Which condition is a contraindication for administering activated charcoal?
Which condition is a contraindication for administering activated charcoal?
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How should activated charcoal be properly prepared before administration?
How should activated charcoal be properly prepared before administration?
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What is the usual adult dose of activated charcoal?
What is the usual adult dose of activated charcoal?
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What should be done if a patient cannot swallow activated charcoal?
What should be done if a patient cannot swallow activated charcoal?
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For how long should a skin contact area be flushed with water if advised?
For how long should a skin contact area be flushed with water if advised?
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What is essential to monitor during airway management in a patient?
What is essential to monitor during airway management in a patient?
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What should be done if a patient ingests an alkali?
What should be done if a patient ingests an alkali?
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Flashcards
Inhaled Toxin Treatment
Inhaled Toxin Treatment
Remove the patient from the toxic environment, provide oxygen if needed, and bring containers of the poison to the receiving facility.
Injected Toxin Signs
Injected Toxin Signs
Symptoms may include weakness, dizziness, chills, fever, nausea, and vomiting.
Injected Toxin Emergency Care
Injected Toxin Emergency Care
Ensure airway & oxygen, prepare for potential vomiting, and transport with containers.
Absorbed Toxin Signs
Absorbed Toxin Signs
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Black Widow Spider
Black Widow Spider
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Brown Recluse Spider
Brown Recluse Spider
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Jellyfish
Jellyfish
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Sea Urchin
Sea Urchin
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Decontamination
Decontamination
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Toxins & Rescuers
Toxins & Rescuers
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Absorbed Poison Treatment
Absorbed Poison Treatment
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Flush Time (Poison)
Flush Time (Poison)
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Airway Management
Airway Management
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Activated Charcoal Use
Activated Charcoal Use
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Activated Charcoal Indications
Activated Charcoal Indications
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Activated Charcoal Contraindications
Activated Charcoal Contraindications
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Activated Charcoal Dosage (Adult)
Activated Charcoal Dosage (Adult)
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Activated Charcoal Dosage (Child)
Activated Charcoal Dosage (Child)
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Activated Charcoal Liquid Admin
Activated Charcoal Liquid Admin
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Activated charcoal brands
Activated charcoal brands
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Activated Charcoal: Mechanism
Activated Charcoal: Mechanism
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Activated Charcoal: Brand Variation
Activated Charcoal: Brand Variation
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Activated Charcoal: Side Effects
Activated Charcoal: Side Effects
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Activated Charcoal: Vomiting
Activated Charcoal: Vomiting
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Activated Charcoal: Administration
Activated Charcoal: Administration
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Poisoning: Types of Toxins
Poisoning: Types of Toxins
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Airway Management (Poisoning)
Airway Management (Poisoning)
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Poisoning: Reassessment
Poisoning: Reassessment
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Poisoning History
Poisoning History
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Poisoning Treatment: Summary
Poisoning Treatment: Summary
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What is a toxin?
What is a toxin?
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How do toxins enter the body?
How do toxins enter the body?
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Signs of ingested toxins
Signs of ingested toxins
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What to do for ingested toxins?
What to do for ingested toxins?
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Signs of inhaled toxins
Signs of inhaled toxins
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What to do for inhaled toxins?
What to do for inhaled toxins?
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Activated charcoal
Activated charcoal
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When is activated charcoal given?
When is activated charcoal given?
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What are the possible side effects of activated charcoal?
What are the possible side effects of activated charcoal?
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Study Notes
Poisoning and Overdose
- Chapter 22 covers poisoning and overdose
- A toxin is any substance that produces adverse effects when it enters the body
History of Poisoning
- A focused history and physical exam are crucial
- Important questions to ask a patient with suspected poisoning, using SAMPLE and OPQRST:
- What substance?
- When did they ingest/become exposed?
- How much was ingested?
- Over what period?
- What interventions have been performed?
- What is their weight?
Types of Toxins: Ingested
- Signs and symptoms include:
- Nausea
- Vomiting
- Diarrhea
- Altered mental status
- Abdominal pain
- Chemical burns around the mouth
- Different breath odors
- Emergency medical care:
- Remove ingested pills/tablets/fragments with gloves to avoid injury
- Consult medical advice for activated charcoal administration
- Bring containers, bottles, labels, etc. of poison agents to the receiving facility
Types of Toxins: Inhaled
- Signs and symptoms include:
- Difficulty breathing
- Chest pain
- Cough
- Hoarseness
- Dizziness
- Headache
- Confusion
- Seizures
- Altered mental status
- Emergency medical care:
- Have trained rescuers remove the patient from the poisonous environment.
- Administer oxygen, if not already done in the initial assessment
- Bring all containers, bottles, labels, etc. of poison agents to the receiving facility
- Examples of inhaled toxins: insect bites/stings/insect stings/foods/plants
Types of Toxins: Injected
- Poison enters the body through a puncture.
- Example toxins:
- Insect bites
- Spider bites
- Snake bites
- Stings/bites of marine animals
- Injections with syringe and needle
- Signs and symptoms include:
- Weakness
- Dizziness
- Chills
- Fever
- Nausea
- Vomiting
- Emergency medical care:
- Emergency medical care
- Airway and oxygen
- Be alert for vomiting
- Bring all containers, bottles, labels, etc. of poison agents to the receiving facility
- Specific examples of injected toxins include:
- Black widow spider
- Brown recluse spider
- Jellyfish
- Sea urchin
Types of Toxins: Absorbed
- Signs and symptoms include:
- History of exposure
- Liquid or powder on patient's skin
- Burns
- Itching
- Irritation
- Redness
- Emergency medical care:
- Removing contaminated clothing, protecting from further contamination.
- Brush powder from patient
- Irrigate affected areas of skin with clean water for at least 20 minutes (and continue en route to the facility if possible).
- Irrigate affected eye with clean water for at least 20 minutes (and continue en route to the facility if possible).
- For some substances, flushing with water is best for 20 minutes before transport.
Airway Management
- A patient's condition may deteriorate
- Continue assessing the patient for airway difficulties and manage as learned previously
Use of Activated Charcoal
- Medication names include "activated charcoal"
- Generic: Activated charcoal
- Trade: SuperChar™, InstaChar™, Actidose™, Liqui-Char™
- Indications for use: Poisoning by mouth
- Contraindications:
- Altered mental status
- Ingestion of acids or alkalis
- Unable to swallow
- Dosage:
- Adults and children: 1 gram activated charcoal/kg of body weight
- Usual adult dose: 25-50 grams
- Usual infant/child dose: 12.5-25 grams
- Administration techniques:
- Shake the container thoroughly
- Pour the liquid into a container
- Persuade the patient to drink it
- Shake or stir liquid if settling
- Mechanism of action: Binds to certain poisons preventing absorption into the body
- Side effects: Black stools
- Some patients may vomit; repeat dose if this occurs
- Reassessment strategies: Be prepared for the patient to vomit or further deteriorate
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Description
Test your knowledge on the crucial aspects of poisoning and overdose presented in Chapter 22. This quiz covers the identification of toxins, patient history collection, and emergency medical responses. Gain a deeper understanding of the signs, symptoms, and interventions related to poisoning cases.