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Chapter Poisoning and  Overdose  Emergencies Seventeen
Chapter ,[object Object],Seventeen CORE CONCEPTS
Poison K EY TERM Any substance that can harm the body
INHALATION INJECTION INGESTION ABSORPTION Drain  Cleaners Rat Poison Lye Sprays Cleaning Fluid Drugs Household Cleaners Insecticides Four Routes of Poisoning
Patient  ASSESSMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],possible amount. Poisoning/Overdose Signs and Symptoms (Continued)
Patient  ASSESSMENT Poisoning/Overdose Signs and Symptoms ,[object Object],[object Object],longest possible times. exposure occur? (Continued)
Patient  ASSESSMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Poisoning/Overdose Signs and Symptoms
I NGESTED POISONS
Patient  ASSESSMENT ,[object Object],[object Object],[object Object],[object Object],Ingested Poisons Signs and Symptoms
Patient  CARE Ingested Poisons Emergency Care Steps
Gather information. Remove pills from patient’s  mouth carefully. Consult medical  direction: Administer  activated charcoal?
Administer  activated charcoal as directed. Position patient for vomiting.  Save all vomitus. Have suction equipment ready.
[object Object],Activated Charcoal Indication Contraindications ,[object Object],[object Object],[object Object]
Trade Names: SuperChar, InstaChar, LiquiChar
[object Object],Activated Charcoal Medication Form commonly 12.5 grams in plastic bottle ,[object Object],the field
[object Object],Activated Charcoal Dosage 1 gram activated charcoal/ kg of body weight ,[object Object],[object Object]
[object Object],[object Object],[object Object],Activated Charcoal Administration If necessary, use a covered  container and a straw.
Activated Charcoal ,[object Object],Administration medication right away, shake again to prevent settling. dose, route, and time of  administration. ,[object Object]
[object Object],Activated Charcoal Actions prevents absorption by body. ,[object Object],than others.   Consult medical   direction about brand.
[object Object],[object Object],Activated Charcoal Side Effects If so, repeat the dose. Reassessment Strategies Be prepared for the patient to vomit or for patient’s condition to deteriorate.
Sometimes it is very difficult to convince a patient to drink a premixed solution of activated charcoal.  It looks like mud.  Giving a covered container and straw to the patient may make it easier to drink.  It is important to acknowledge any fear or apprehension your patient is experiencing.  Your calm, professional demeanor helps you gain a patient’s trust and respect in your ability  to administer medication in the appropriate manner.  Remember, too, that activated charcoal may be given  to the patient while en route to the receiving facility.  P RECEPTOR  P EARL
I NHALED POISONS
Patient  ASSESSMENT Inhaled Poisons Signs and Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],(Continued)
Patient  ASSESSMENT Inhaled Poisons Signs and Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object]
Patient  CARE Inhaled Poisons Emergency Care Steps
Have patient removed  from the hazardous environment. Establish an  open airway.
Maintain airway  and administer  oxygen. Remove any  contaminated  clothing.
Consult medical  direction. Transport the patient.
[object Object],[object Object],[object Object],Carbon Monoxide ,[object Object],place of oxygen in red blood cells
I NJECTED POISONS
[object Object],[object Object],[object Object],[object Object],[object Object],Signs and Symptoms Carbon Monoxide uncommon)
Patient  ASSESSMENT Injected Poisons Signs and Symptoms ,[object Object],[object Object],[object Object],[object Object]
Patient  CARE Injected Poisons Emergency Care Steps ,[object Object],[object Object],[object Object]
A BSORBED POISONS
Patient  ASSESSMENT Absorbed Poisons Signs and Symptoms ,[object Object],[object Object],[object Object],[object Object]
Patient  CARE Absorbed Poisons Emergency Care Steps
Brush  powders from patient. Remove patient from source without contaminating yourself.
Remove contaminated  clothing and other  articles. Irrigate with  clear water for at least 20 minutes.
Patient  CARE Absorbed Poisons Emergency Care Steps ,[object Object],[object Object],20 minutes and continue en route if possible.
When treating a poisoned or overdosed patient whose airway is patent, be  prepared for deterioration and the need to secure airway. Airway Management in Poisoning Emergencies
1. What are the ways patients can be poisoned? 2. What is the most common inhaled poison, and how is it treated? 3. What are the indications for, contraindications for, and manner of administering activated charcoal? R EVIEW QUESTIONS

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Ch 17

  • 1. Chapter Poisoning and Overdose Emergencies Seventeen
  • 2.
  • 3. Poison K EY TERM Any substance that can harm the body
  • 4. INHALATION INJECTION INGESTION ABSORPTION Drain Cleaners Rat Poison Lye Sprays Cleaning Fluid Drugs Household Cleaners Insecticides Four Routes of Poisoning
  • 5.
  • 6.
  • 7.
  • 9.
  • 10. Patient CARE Ingested Poisons Emergency Care Steps
  • 11. Gather information. Remove pills from patient’s mouth carefully. Consult medical direction: Administer activated charcoal?
  • 12. Administer activated charcoal as directed. Position patient for vomiting. Save all vomitus. Have suction equipment ready.
  • 13.
  • 14. Trade Names: SuperChar, InstaChar, LiquiChar
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21. Sometimes it is very difficult to convince a patient to drink a premixed solution of activated charcoal. It looks like mud. Giving a covered container and straw to the patient may make it easier to drink. It is important to acknowledge any fear or apprehension your patient is experiencing. Your calm, professional demeanor helps you gain a patient’s trust and respect in your ability to administer medication in the appropriate manner. Remember, too, that activated charcoal may be given to the patient while en route to the receiving facility. P RECEPTOR P EARL
  • 23.
  • 24.
  • 25. Patient CARE Inhaled Poisons Emergency Care Steps
  • 26. Have patient removed from the hazardous environment. Establish an open airway.
  • 27. Maintain airway and administer oxygen. Remove any contaminated clothing.
  • 28. Consult medical direction. Transport the patient.
  • 29.
  • 31.
  • 32.
  • 33.
  • 35.
  • 36. Patient CARE Absorbed Poisons Emergency Care Steps
  • 37. Brush powders from patient. Remove patient from source without contaminating yourself.
  • 38. Remove contaminated clothing and other articles. Irrigate with clear water for at least 20 minutes.
  • 39.
  • 40. When treating a poisoned or overdosed patient whose airway is patent, be prepared for deterioration and the need to secure airway. Airway Management in Poisoning Emergencies
  • 41. 1. What are the ways patients can be poisoned? 2. What is the most common inhaled poison, and how is it treated? 3. What are the indications for, contraindications for, and manner of administering activated charcoal? R EVIEW QUESTIONS