You are treating a farm worker who has been found unconscious after becoming soaked in a pesticide that he was using on his fields. The exposure occurred earlier in the day. The patient presents with excessive salivation, tearing, constricted pupils, hypotension, and bradycardia. After initial supportive treatments have been rendered, which of the following would the paramedic MOST likely
administer?
a. Atropine sulfate, 1 mg initially, repeated every 3–5 minutes. Up to 100 mg may be administered to this patient.
b. Pasadena Cyanide Kit should be administered as directed
c. Epinephrine 1 mg, every 3–5 minutes IVP
d. Naloxone 1–2 mg repeated every 5 minutes until cessation of bradycardia
a
Rationale: a. Correct.
b. The Pasadena Cyanide Kit should be administered in suspected cyanide overdose. This overdose is most likely organophosphate poisoning.
c. Epinephrine is administered in situations involving cardiac arrest and anaphylaxis.
d. Naloxone is used in suspected narcotic overdose.
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Hospitals are beginning to use "electronic informed consent programs." ________________is used at the VA and at 190 U.S. hospitals
A. Iconsent B. eMedConsent C. iMedConsent D. None of the above
Which of the following questions should the medical assistant ask the patient when taking an oral temperature using a disposable oral strip thermometer?
a. Have you been sleeping? b. Have you been talking? c. Have you been smoking or drinking hot/cold liquids? d. Have you been stressed?