NUR 211 EXAM #6 - BITES, MASS
CASUALTY, TRAUMA QUESTIONS AND
CORRECT ANSWERS
list all 6 steps in management of benzodiazepine OD ANSW✅✅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? ANSW✅✅1. intranasally
2. by smoking ("freebasing")
3. IV
4. polysubstance
cocaine is a CNS ___________ ANSW✅✅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 ANSW✅✅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? ANSW✅✅lethargy to encephalopathy and death
- GI upset, diaphoresis, RUQ pain, abnormal liver function tests
- hepatomegaly to liver failure
- metabolic acidosis and hypoglycemia
Benzodiazepines includes chlordiazepoxide or drugs that end in -pam. The drug *flunitrazepam* is a
benzodiazepine that is considered the ____________ ____________ drug ANSW✅✅date rape.
manifestations include:
- disinhibition with antegrade amnesia
- weakness and unsteadiness with impaired judgement
- powerlessness
what are the clinical manifestations of all other benzodiazepines? ANSW✅✅seizures, coma,
circulatory collapse, and death
acute intoxication:
- respiratory depression, decreased LOC
- confusion, slurred speech, hypotension
- ataxia
- pulmonary edema
- coma, death
describe the 3 stages of acetaminophen OD? ANSW✅✅I: first 24 hours. GI irritation, possible
metabolic acidosis, and coma
II: 24-48 hours. Monitor liver and coag studies
CASUALTY, TRAUMA QUESTIONS AND
CORRECT ANSWERS
list all 6 steps in management of benzodiazepine OD ANSW✅✅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? ANSW✅✅1. intranasally
2. by smoking ("freebasing")
3. IV
4. polysubstance
cocaine is a CNS ___________ ANSW✅✅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 ANSW✅✅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? ANSW✅✅lethargy to encephalopathy and death
- GI upset, diaphoresis, RUQ pain, abnormal liver function tests
- hepatomegaly to liver failure
- metabolic acidosis and hypoglycemia
Benzodiazepines includes chlordiazepoxide or drugs that end in -pam. The drug *flunitrazepam* is a
benzodiazepine that is considered the ____________ ____________ drug ANSW✅✅date rape.
manifestations include:
- disinhibition with antegrade amnesia
- weakness and unsteadiness with impaired judgement
- powerlessness
what are the clinical manifestations of all other benzodiazepines? ANSW✅✅seizures, coma,
circulatory collapse, and death
acute intoxication:
- respiratory depression, decreased LOC
- confusion, slurred speech, hypotension
- ataxia
- pulmonary edema
- coma, death
describe the 3 stages of acetaminophen OD? ANSW✅✅I: first 24 hours. GI irritation, possible
metabolic acidosis, and coma
II: 24-48 hours. Monitor liver and coag studies
