Professional Documents
Culture Documents
ensure an adequate airway & Drowning rescue, reaching assist generalized urticaria,
dysrhythmias
respiration(ventilation)
If the victim is in deepo or
◦ ECG monitoring Malaise
ABGs (determine the type of dangerous water but there is a
ventilatory support needed) dock to stand on, try a reaching laryngeal edema
compromised renal function
assist with a long, sturdy object
Supplemental O2, by mask ◦ indwelling urinary severe bronchospasm
catheter
ET intubation w/ +P shock, and death.
Drowning rescue on ice, board
decompress the stomach & assist
◦ improves oxygenation prevent the patient from NOTE: The shorter the time bet. the
aspirating gastric contents sting & the onset of severe Sx, the
If a person falls through ice, do not
◦ Prevents aspiration worse the prognosis.
go into ice to attempt a rescue.
◦ NG intubation From a safe place try a reaching
◦ corrects Management
intrapulmonary assist with a long, sturdy object
shunting stinger removal
An indwelling urinary catheter is
◦ corrects Ventilation– inserted to measure urine output. ◦ venom is assoc. /sacs
Drowning rescue on the ice, human
perfusion Hypothermia and accompanying around the barb of the
chain
abnormalities (caused metabolic acidosis may stinger
by aspiration of water) compromise renal function. If a person falls through ice, and
Wound care w/ soap and
there is more than one person on
N/I: water
solid ground, form a chain of bodies
from a secure location out to the Scratching is avoided
hypothermia Drowning rescue, throw assist
fallen person because (results in histamine
◦ rectal probe If the water is too deep or response.
dangerous to enter or if the victim
◦ rewarming procedures is too far out to reach with a long Ice application (reduces
INJECTED POISONS: STINGING
(extracorporeal object, a throwing assist may be swelling & decreases venom
INSECTS
warming, wisest absorption)
oral antihistamine & immobilize the injured body Do not use during the acute 15 mins. before & after: the
analgesic (itching and pain) part below the level of the stage (first 6 to 8 hrs): ice, circumference of the affected
heart. tourniquets, heparin, part is measured proximally
NOTE: stinger removal if the bite is Corticosteroids are
from a bee, because the venom is Do not apply: Ice or a contraindicated in after the Premedicate w/:
associated with sacs around the tourniquet bite diphenhydramine and
barb of the stinger itself. Scratching cimetidine
is avoided because (results in may depress antibody
histamine response). prod’n IV (slow), IM
Initial evaluation:
Severe Allergic Response hinder the action of diluted in 500 -1000 mL of
Whether the snake was NSS
antivenin
Epinephrine (aqueous) venomous or nonvenomous
For hypotension: Parenteral total dose :infused during the
◦ SC if the snake is dead, it should first 4-6 hrs after poisoning
fluids & vasopressors (short-
be transported to the ED with
term)
◦ massaged to hasten the pt for ID NOTE: IV, IM Depending on the
absorption. Surgical exploration of the
Where and when the bite severity of the bite
SNAKE BITES bite
occurred
Premedicate w/: diphenhydramine
Pt. is observed closely for at
1 -9 y.o. high risk Circumstances of the bite and cimetidine (decreases the
least 6 hours
allergic response to antivenin)
daylight hrs. to early Sequence of events
evening(summer) Never left unattended After the symptoms decrease,
S & Sx (fang punctures, pain,
pit vipers edema, and erythema of the the circumference of the affected
bite and nearby tissues) ANTIVENIN (ANTITOXIN) part should be measured
◦ control of seizures, • To administer a specific antidote reduced circulating blood ECG, vital signs, and neurologic
to neutralize a specific poison volume (increased capillary status An indwelling urinary
corticosteroids f permeability) catheter is inserted to monitor
• To implement treatment that renal function.
◦ for prolonged reaction hastens the elimination of the ASSESSMENT
with persistent absorbed poison Blood specimens are
hypotension or determine what substance obtained to test for
bronchospasm was taken; concentration of
Corrosive poisons include
the amount; time since drug or poison.
alkaline and acid agents ingestion;
Poisoning The patient who has ingested a
signs and symptoms, such as corrosive poison is given water or
poison ◦ cause tissue
pain or burning sensations milk
destruction after
any substance that, when coming in contact with dilution is not attempted if
any evidence of redness or
ingested, inhaled, absorbed, mucous membranes the patient has acute airway
burn in the mouth or throat,
applied to the skin, or pain on swallowing edema or obstruction,
produced w/n the body in ◦ drain cleaners
esophageal, gastric, or
relatively small amounts, inability to swallow, intestinal
injures the body by its ◦ toilet bowl cleaners
chemical action. vomiting, or drooling; burn or perforation.
◦ Bleach