What mnemonic can help you to remember the likely signs and symptoms of a patient exposed to a nerve gas? SAMPLE DUMBELS OPQRST ABC
Added by Rebecca M.
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Step 1: DUMBELS — Diarrhea/Defecation, Urination, Miosis, Bronchorrhea/Bronchospasm, Emesis, Lacrimation, Salivation. Show more…
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Imagine that you are at a friend's backyard party when her uncle starts to stumble and complain of dizziness and tiredness. It looks like he is having difficulty breathing. He mentions that he was spraying for insects in the front yard and may have breathed in too much spray. He sits and relaxes but does not feel any better after 15 minutes. His blue complexion provides a good signal that you should take him to the hospital. On the way to the hospital, his muscles go from tense to limp. Now his breathing has become shallow, and his speech is slurred. The emergency room physician at the hospital finds out that your friend's uncle had a busy day before the party. He was involved in cleaning algae out of the large pond behind the house before spraying the yard. He ate some old beef stew that was sitting in the refrigerator. The stew did not look or smell bad. Your friend is very concerned about her uncle and asks you to explain what the physicians are looking for as the cause of her uncle's illness. You explain that the physicians must use a process of elimination to determine what caused her uncle's problems. She asks you to tell her the possibilities. Determine the possible nervous system problems causing the illness.
Adi S.
The signs and symptoms of poisoning include: Select the correct responses from the options below, Burns to the mouth and airway Numbness Cardiac arrest Loss to sensation Headaches and blurred vision Nausea and/or vomiting A sensation of flowing liquid at the back of the throat The urge to swallow frequently Respiratory arrest Increased urination Seizures
Bryan V.
Anthrax Exposure Patient Profile J.B. is a 56-year-old male victim of a suspected terrorist attack. He is one of several postal workers who inhaled Bacillus anthracis (anthrax) spores when a package in the mail sorting room exploded several feet away from him. He did not suffer any visible wounds or trauma from the explosion. He was decontaminated by the biohazard team before transport to the hospital. In the emergency department (ED), he complained of a sore throat and cough. He is being admitted for observation to the medical unit. He has a history of hypertension and hyperlipidemia. Subjective Data States throat is sore Denies any dyspnea Objective Data Temperature 98.6 °F, pulse 88, respirations 20, blood pressure 136/80 Lungs clear to auscultation Posterior oropharynx slightly red Occasional, unproductive cough Questions What, if any, special precautions need to be taken in caring for J.B., who was exposed to inhalation anthrax? What clinical manifestations should you assess for in J.B.? When would you expect these symptoms to arise? What is the treatment for anthrax exposure? J.B. does not develop any further symptoms and is discharged after 48 hours. What will you include in your discharge teaching? This incident of exposure to anthrax is considered a mass casualty incident (MCI). What does that mean? What is the nurse's role in emergency and MCI preparedness?
Madhur L.
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