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Emergency AssessmentMedical-Surgical Nursing-7th edition

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What can cause bilateral dilated pupils?
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Brain herniation r/t increases ICP, anxiolytics, atropine, belladonna, alkaloids, and hypoxia.
_______ is used for airway maintenance in patients with cervical or neck trauma.
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Nasotracheal intubation
What are contraindications for Ipecac?
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Over 1 hour since ingestion, decreased LOC, petroleum based or caustic substance.
What are the 5 factors that guide substance OD treatment?
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Type, amount, rate of absorption, route of administration, time since ingestion.
Treats? Anti-convulsives and antihypertensives
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LSD and PCP
Treats? Phenytoin or diazepam
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Barbiturates and Benzodiazepines
OD of these substances can lead to renal failure...
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Ethylene glycol, NSAIDS, amphetamines
Treats? IV NaHCO3...
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TCA OD (Elavil, Sinequan, Tofranil, Pamelor) and amphetamines.
Type of OD? Hypotension, SVT, Torsades, acute MI, ARDS, coma, seizures, ATN.
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TCAs
Treats? N-acetylcysteine/ Mucomyst
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Acetaminophen OD
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Activated charcoal action is enhanced when mixed with _______ and decreases when _______ is present.
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sorbitol increases effect; food decreases effect
Type of OD? hypertension crisis, decreased resp., severe bronchospasm leads to crowing, ARF from rhabdomyolysis, paranoid, psychotic behavior.
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PCP
When using Ipecac, vomiting is expected within _______ and concurrent oral warm water assists this.
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20 minutes
Treats? Narcan IV
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Opioids
Treats? Alcohol infusion IV (ethanol)
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Ethylene glycol
Treats? Dilute with milk or water. Corticosteroids.
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Acids, Alkalis, Bleach
HHS is associated with type _______ diabetes.
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Type II
What is a normal HbAIC and what is the goal for diabetics?
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Normal 4-6 and Diabetics 7
Type I diabetics can experience DKA or HHS?
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DKA
When treatment for hyperglycemia with insulin is begun, _______ typically falls rapidly.
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K+
Which has more significant K+ deficiency, DKA or HHS?
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DKA
  
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