WB Ch 21: Toxicology

Which of the following would NOT provide clues to the nature of the poison? Open windows Scattered pills Chemicals A needle or syringe

Open windows

The effects of bath salts can last as long as: 12 hr 24 hr 48hr 72 hr

48hr

Which of the following is NOT a narcotic? Heroin Morphine Ativan Codeine

Ativan

The ingestion of marijuana can lead to cannabinoid hyperemesis syndrome, resulting in extreme nausea and vomiting. How are the symptoms typically relieved? Hot showers Oxygen therapy activated charcoal massaging the feet

Hot showers

--------- is a highly toxic, colorless, and flammable gas with a distinctive rotten-egg odor.

Hydrogen sulfide

The presence of burning of the mucous membranes around the mouth suggests: ingestion of depressants ingestion of poison overdose of heroin that the patient may be a heavy smoker.

Ingestion of a poison

Which of the following is TRUE regarding injected poisons? Injected poisons cannot be diluted '' '' can be easily removed from the body '' '' are absorbed over time '' '' only include intravenous drugs

Injected poisons cannot be diluted

Which of the following statements regarding injected poisons is FALSE: They may result in dizziness, fever and chills they are frequently caused by a drug overdose they are easily diluted once in the bloodstream you should remove rings, watches and bracelets in areas of swelling

They are easily diluted once in the bloodstream

Injected poisons are impossible to dilute or remove because they are usually ------ or cause intense local tissue destruction. absorbed quickly into the body bound to hemoglobin large compounds combined with the cerebrospinal fluid

absorbed quickly into the body

Which of the following is NOT part of treatment of patients who have overdosed with sedative-hypnotics and have respiratory depression? Provide airway clearance provide ventilatory assistance provide prompt transport administer syrup of ipecac

administer syrup of ipecac

Treatment for ingestion of poisonous plants includes all of the following EXCEPT: assessing the patient's airway and vitals signs taking the plant to the ER administering activated charcoal prompt transport

administering activated charcoal

which of the following is NOT a typical ingested poison? aerosol propellants household cleaners plants contaminated food

aerosol propellants

Naloxone (Narcan) should only be used in a patient with a suspected opiate or opioid overdose who has: an altered mental status dilation of the pupils carpopedal spasms agonal respirations or apnea

agonal respirations or apnea

The most important consideration in caring for a patient who has been exposed to an organophosphate insecticide or some other cholinergic agent is to: maintain the airway apply high-flow oxygen avoid exposure yourself initiate CPR

avoid exposure yourself

The major side effect of ingesting activated charcoal is: depressed respirations overproduction of stomach acid black stools increased BP

black stools

Localized signs and symptoms of absorbed poisoning include: a history of exposure burns, irritation of the skin dyspnea muscle weakness

burns, irritation of the skin

Which of the following is NOT considered a sign or symptom of alcohol withdrawal? agitation and restlessness fever and sweating seizures chest pain

chest pain

Inhaled poisons include: chlorine venom dieffenbachia salmonella

chlorine

Medical problems that may cause the patient to present as intoxicated include all of the following EXCEPT: head trauma diarrhea uncontrolled diabetes toxic reactions

diarrhea

Cholinergic agents overstimulate normal body functions that are controlled by parasympathetic nerves causing: Increased salivation, pupil dilation decreased urination decreased lacrimation

increased salivation

Which of the following is NOT considered a typical route of administration for naloxone? intravenous intranasal intramuscular intradermal

intradermal

Signs and symptoms of staphylococcal food poisoning include: difficulty speaking nausea, vomiting and diarrhea blurred vision respiratory distress

nausea, vomiting and diarrhea

Anticholinergic medications have properties that block the ------- nerves. parasympathetic sympathetic adrenergic parasympatholytic

parasympathetic

Signs and symptoms of chlorine exposure include all of the following EXCEPT: cough chest pain rales wheezing

rales

Treatments for inhaled poisons include: removing the patient from the exposure applying an SCBA to the patient covering the patient to prevent spread of the poison considering CPAP application

removing the patient form the exposure

Inhalant effects range from mild drowsiness to coma, but unlike most other sedative-hypnotics these agents may often cause: seizures vomiting swelling of the tongue rashes

seizures

Alcohol is a powerful central nervous system depressant. It: sharpens the sense of awareness slows reflexes increases reaction time increases reflexes

slows reflexes

Characteristics of carbon monoxide include all of the following EXCEPT: is odorless produces severe hypoxia does not damage or irritate the lungs smells like rotten eggs

smells like rotten eggs

Activated charcoal is in the form of a(n)? elixar, suspension, syrup, emulsion

suspension

Sympathomimetics are central nervous system stimulants that frequently cause: hypotension tachycardia pinpoint pupils muscle weakness

tachycardia

Cocaine is called all of the following EXCEPT: lady snow blow weed

weed