ADULT EMERGENCY PROBLEMS (Primary Care, Dunphy, Winland-Brown, Porter, & Thomas) Questions with 100% Correct Answers Latest 2024 Version

ADULT EMERGENCY PROBLEMS (Primary Care, Dunphy, Winland-Brown, Porter, & Thomas) Questions with 100% Correct Answers Latest 2024 Version POISONING - Condition when contact is made w/ chemical substance that causes injury, illness, or death. Adult Poisonings = Intentional Childhood Poisonings = Accidental; 90% in Home; 60% children are 6 y/o. POISONING PATHOPHYSIOLOGY - Inhaled motor vehicle exhaust; barbiturates overdose; TCAs antidepressant OD (Table 19.1) ACETAMINOPHEN POISONING - **SX's: N & V; After 24-48 hrs = Hepatic Necrosis w/Jaundice; Hepatic encephalopathy; renal failure; possibly fatal; **DX: w/ Tyl. Serum Level; **TX = activated charcoal &/or "acetadote" for 36 hrs. after ingestion. SALICYLATES / ASPIRIN POISONING - **SX's: N & V, gastritis, hypercapnia, tachycardia, agitation, tinnitus, seizures, pulmonary edema, hyperthermia, possible death; **DX: elevated P.T., toxicology screen 100; **TX: activated charcoal, gastric Lavage, Nabicab (IV/ intravenous), hemodialysis. BARBITURATES POISONING - **SX's: decreased LOC, confusion, ataxia vertigo, slurred speech, bradycardia, H/A, hypothermia, cyanosis, CV collapse; **DX: toxicology screen; **TX: gastric Lavage w/ activated charcoal & cathartic agent; maintain airway. BENZODIAZEPINES POISONING - **SX's: CNA depression, H/A, dizziness, ataxia, drowsiness, hypotension, memory impairment, salivation changes; **DX: tox. screen/ HX; **TX: gastric Lavage.