Signs of acetaminophen (tylenol) poisoning
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Phase 1 (w/in 24 hrs of ingestion): malaise, diaphoresis, N/V
Phase 2 (24-48 hrs after ingestion): RUQ abd pain, decreased UO,
diminished nausea, elevated LFTs
Phase 3 (72-96 hrs after ingestion): N/V, malaise, jaundice, hypoglycemia,
enlarged liver, possible coagulopathies including DIC
Phase 4 (7-8 days after ingestion): recovery, resolution of symptoms or
permanent liver damage, LFTs remain high
Causes of burn injuries by degree
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, 1st Degree (Superficial):
- Sunburn
- Low-intensity flash
- Superficial scald
2nd Degree (Partial thickness):
- Scalds
- Flash flame
- Contact
3rd Degree (Full thickness):
- Flame
- Prolonged exposure to hot liquids
- Electric current
- Chemical
- Contact
4th Degree (Full thickness includes fat, fascia, muscle, and bone):
- Prolonged exposure or high voltage electrical injury
2. A nurse is caring for a client who has ingested a toxic agent. Which of the following
actions should the nurse plan to take? (Select all that apply)
A. Induce vomiting
B. Instill activated charcoal
C. Perform a gastric lavage with aspiration
D. Administer syrup of ipecac
E. Infuse IV fluids
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B, C, E
Types of smoke and inhalation injuries
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Metabolic Asphyxiation
Upper airway injury
Lower airway injury
Metabolic Asphyxiation:
- Majority of deaths at a fire scene are the result of inhaling certain smoke
elements, primarily carbon monoxide (CO) or hydrogen cyanide
- O2 delivery of or consumption by tissues is impaired - results in hypoxia &
carboxyhemoglobin (hemoglobin combined w/ CO)
Upper Airway Injury:
- Results from inhalation injury to mouth, oropharynx, &/or larynx
- Mucosal burns of oropharynx & larynx manifested by redness, blistering,
& edema
- Swelling delayed 12-24 hrs
Lower airway Injury:
- Inhalation injury to trachea, bronchioles, & alveoli caused by breathing in
toxic chemicals or smoke
- Tissue damage is r/t duration of exposure to toxic fumes or smoke
Nurse: listen to lung sounds
Rapid initial & ongoing assessment is critical
- airway compromise & pulmonary edema can develop over the 1st 12-24
hrs
Signs of cyanide poisoning
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Inhalation:
tachypnea, tachycardia
coma, seizures
can progress to respiratory arrest
respiratory failure
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Phase 1 (w/in 24 hrs of ingestion): malaise, diaphoresis, N/V
Phase 2 (24-48 hrs after ingestion): RUQ abd pain, decreased UO,
diminished nausea, elevated LFTs
Phase 3 (72-96 hrs after ingestion): N/V, malaise, jaundice, hypoglycemia,
enlarged liver, possible coagulopathies including DIC
Phase 4 (7-8 days after ingestion): recovery, resolution of symptoms or
permanent liver damage, LFTs remain high
Causes of burn injuries by degree
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, 1st Degree (Superficial):
- Sunburn
- Low-intensity flash
- Superficial scald
2nd Degree (Partial thickness):
- Scalds
- Flash flame
- Contact
3rd Degree (Full thickness):
- Flame
- Prolonged exposure to hot liquids
- Electric current
- Chemical
- Contact
4th Degree (Full thickness includes fat, fascia, muscle, and bone):
- Prolonged exposure or high voltage electrical injury
2. A nurse is caring for a client who has ingested a toxic agent. Which of the following
actions should the nurse plan to take? (Select all that apply)
A. Induce vomiting
B. Instill activated charcoal
C. Perform a gastric lavage with aspiration
D. Administer syrup of ipecac
E. Infuse IV fluids
Give this one a try later!
B, C, E
Types of smoke and inhalation injuries
, Give this one a try later!
Metabolic Asphyxiation
Upper airway injury
Lower airway injury
Metabolic Asphyxiation:
- Majority of deaths at a fire scene are the result of inhaling certain smoke
elements, primarily carbon monoxide (CO) or hydrogen cyanide
- O2 delivery of or consumption by tissues is impaired - results in hypoxia &
carboxyhemoglobin (hemoglobin combined w/ CO)
Upper Airway Injury:
- Results from inhalation injury to mouth, oropharynx, &/or larynx
- Mucosal burns of oropharynx & larynx manifested by redness, blistering,
& edema
- Swelling delayed 12-24 hrs
Lower airway Injury:
- Inhalation injury to trachea, bronchioles, & alveoli caused by breathing in
toxic chemicals or smoke
- Tissue damage is r/t duration of exposure to toxic fumes or smoke
Nurse: listen to lung sounds
Rapid initial & ongoing assessment is critical
- airway compromise & pulmonary edema can develop over the 1st 12-24
hrs
Signs of cyanide poisoning
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Inhalation:
tachypnea, tachycardia
coma, seizures
can progress to respiratory arrest
respiratory failure
