Exam (elaborations)
NU410 Exam 4 Guide With Complete Solution
- Course
- Institution
NU410 Exam 4 Guide With Complete Solution...
[Show more]
Content preview
NU410 Exam 4 Guide WithComplete Solution
Lyme Disease Stage I - ANSWER - Within 4 weeks after bite, treated with
doxycycline or penicillin
- "Bulls eye rash"
- Flulike symptoms
Lyme Disease Stage II - ANSWER - 4-10 weeks after bite
- Joint pain, memory loss, poor motor coordination, meningitis
Lyme Disease Stage III - ANSWER Arthritis, neuropathy, myalgia, myocarditis
Poisoning Treatment Goals - ANSWER - Remove or inactivate poison before
it is absorbed
- Provide supportive care in maintaining vital organs systems
- Administer specific antidotes
- Implement tx to hasten elimination of the poison
Alkaline Ingested Poisons - ANSWER Lye, drain cleaners, toilet bowl cleaners,
bleach, nonphosphate detergents, oven cleaners, button batteries
Acidic Ingested Posions - ANSWER - Toilet bowl cleaners, pool cleaners,
metal cleaners; rust removers, battery acid
- Bleach is mixed with an acid-containing toilet bowl cleaner, result will be
the release of deadly chlorine gas
,Ingested Poisons - ANSWER - Can be corrosive
- Corrosive poisons include alkaline & acid agents that cause tissue
destruction after coming into contact with mucous membranes
Measures to remove the toxin or decrease its absorption in patients with
ingested poisons - ANSWER - Use of emetics
- Gastric lavage
- Activated charcoal
- Cathartic when appropriate
- Administration of a specific antagonist as early as possible
- Other measures may include diuresis, dialysis or hemoperfusion
What don't want you to do in patients who've ingested corrosive poisonous
agents - ANSWER Do not induce vomiting as cause destruction of tissues by
contact
True or False: A corrosive poison is an both an acidic and alkaline agent that
causes tissue destruction after contact - ANSWER True
Carbon Monoxide Poisoning - ANSWER - May occur as a result of industrial
or household incident or attempted suicide (fire suppression & motor vehicle
exhaust)
- Colorless, odorless, & tasteless gas
Carbon Monoxide Poisoning Patho - ANSWER - Prevents O2 binding with
RBC, thereby reducing O2-carrying capacity of blood
- Hmg absorbs to CO 200 times faster than it absorbs O2
,- Result is called carboxyhemoglobin & it does not transport O2
Carbon Monoxide Poisoning S/S - ANSWER - May appear intoxicated (from
cerebral hypoxia), headache, muscular weakness, palpitation, dizziness, &
confusion which can progress into coma
- Skin can range from cherry-red (hallmark) to cyanotic to pale
- Pulse ox is not valid as hmg is well saturated (but not with O2, rather CO)
Carbon Monoxide Poisoning Nurse Management - ANSWER - Immediate tx
- Reverse cerebral & myocardial hypoxia & to hasten elimination of carbon
monoxide
- Carry patient to fresh air
- Loosen all tight clothing
- Initiate CPR if required; administer 100% O2
- Prevent chilling; wrap in blankets
- Keep patient quiet
- Do not allow patient to smoke or drink alcohol
Carbon Monoxide Poisoning Medical Management - ANSWER - 100% O2 is
administered at atmospheric or preferably hyperbaric pressures to reverse
hypoxia & accelerated elimination of CO
- O2 is administered until CO level is less than 5%
- When unintentional CO poisoning occurs, contact health department
- A psychiatric consultation is warranted if poisoning was determined to be a
, suicide attempt
True or False: Carboxyhemoglobin is hemoglobin bound to carbon monoxide
and therefore is unable to bind with oxygen, resulting in hypoxemia -
ANSWER True
Management of the Patient With Chemical Burns - ANSWER - Severity of
injury depends on the mechanism of action of the substance, the penetrating
strength & concentration, & the amount of skin exposed to the agent
- Immediately flush skin with running water from a shower, hose, or faucet
- Note: Lye or white phosphorus should be brushed off skin dry
- Protect health care personnel from substance
- Determine the substance
- Some substances may require prolonged flushing or irrigation
- Follow-up care includes reexamination of area at 24 hours, 72 hours, & 7
days
Food Poisoning - ANSWER - Sudden illness that occurs after ingestion of
contaminated food or drink
- Botulism is a serious form of food poisoning that requires continual
surveillance
- Key to tx is determining source & type of food poisoning
- Monitor F&E
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Belina. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
81989 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now