NUR 211- Bites, Mass Casualty, Trauma Review Questions and Answers
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Course
NUR 211
Institution
NUR 211
Benzodiazepines includes chlordiazepoxide or drugs that end in -pam. The drug *flunitrazepam* is a benzodiazepine that is considered the ____________ ____________ drug date rape.
Manifestations include: - disinhibition with antegrade amnesia - weakness and unsteadiness with impaired judgement - po...
NUR 211- Bites, Mass Casualty, Trauma
Review Questions and Answers
Benzodiazepines includes chlordiazepoxide or drugs that end in -pam. The drug
*flunitrazepam* is a benzodiazepine that is considered the ____________
____________ drug ✅date rape.
Manifestations include:
- disinhibition with antegrade amnesia
- weakness and unsteadiness with impaired judgement
- powerlessness
What are the clinical manifestations of all other benzodiazepines? ✅seizures, coma,
circulatory collapse, and death
Acute intoxication:
- respiratory depression, decreased LOC
- confusion, slurred speech, hypotension
- ataxia
- pulmonary edema
- coma, death
List all 6 steps in management of benzodiazepine OD ✅1. ET tube inserted as a
precaution
2. Assess for hypotension (UOP) and start fluids as ordered
3. Evacuate stomach contents with charcoal (if within 1 hour of ingestion)
4. Start EKG monitoring
5. Administer *Flumazenil* (Romazicon)
6. Refer to psych
What are the routes for taking cocaine? ✅1. Intranasally
2. By smoking ("freebasing")
3. IV
4. Polysubstance
Cocaine is a CNS ___________ ✅stimulant.
Side effects include:
- high HR and BP
- hyperthermia
- seizures
- increased energy (agitation/aggression)
- intense euphoria then anxiety/sadness
, - hallucinations with delusions of persecution
- hypervigilance
List in order the 6 steps of therapeutic management for cocaine OD ✅1. Maintain
airway/breathing
2. Control seizures
3. Monitor cardiovascular status
4. Treat hyperthermia
5. Evacuate stomach contents with activated charcoal
6. Refer to psych and inpatient rehab unit
What are the side effects of acetaminophen OD? ✅lethargy to encephalopathy and
death
- GI upset, diaphoresis, RUQ pain, abnormal liver function tests
- hepatomegaly to liver failure
- metabolic acidosis and hypoglycemia
Describe the 3 stages of acetaminophen OD? ✅I: first 24 hours. GI irritation, possible
metabolic acidosis, and coma
II: 24-48 hours. Monitor liver and coag studies
III: >48 hours. Hepatic encephalopathy/jaundice, vomiting, RUQ pain, coagulopathy,
hypoglycemia, AKI
List the 7 steps of acetaminophen OD management in order ✅1. Maintain airway
2. Get acetaminophen levels
3. Labs
4. Lavage the stomach
5. Hemodialysis
6. Administer acetylcysteine
7. Refer to psych
What drugs are considered opioids? ✅- heroin
- morphine
- codeine
- oxycodone
- methadone
- fentanyl
OD of an opioid can result in: ✅- pinpoint pupils
- decreased BP
- marked respiratory depression
- pulmonary edema
- stupor to coma
- seizures
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