Psychiatric Emergencies
This is always your first step in the assessment and treatment of the patient having a behavioral emergency.
What is Assessing the scene carefully?
You note that the patient is potentially experiencing a stimulant overdose. This other symptom fits for the sympathomimetic toxidrome.
What is Diaphoresis ?
An increase in the bilirubin level in the blood would would cause this and is likely related to this.
What is yellow coloring to the patient’s skin is caused by Liver dysfunction.
These types of disease results in the immune system not being able to tell the difference between what it should attack and what it should leave alone.
What are autoimmune diseases?
This blood type is the universal recipient.
What is type AB-?
The term best describes a state of delusion in which the person is out of touch with reality.
What is Psychosis ?
In a patient with suspected excited delirium, this would be expected to happen regarding the patient’s core temperature.
What is Elevated ?
This is the most common chronic bloodborne infection and the leading reason for liver transplantation in the United States.
What is hepatitis C virus?
This autoimmune disease often causes arthritis and will have painful, swollen joints
What is Lupus?
These are the two (2) primary clotting factor deficiencies.
What are Factor VIII & Factor IX? (Type A & Type B)
This is NOT typically a cause of excited delirium.
What is Alzheimer disease?
Delirium, agitation, diaphoresis, tachycardia, hypertension, and hyperthermia are other signs of this type of chemical use.
What are Sympathomimetics or Stimulants?
This is the ability of an organism to invade and create disease in a host.
What is virulence?
In an anaphylactic reaction, this is responsible for local blood vessels to dilate and capillaries to leak.
What are histamines?
This is the most critical condition associated with Sickle cell crisis.
What is Vasoocclusive crisis?
This interview technique would NOT be appropriate to use with a patient experiencing a behavioral emergency
What is arguing with the patient?
The DUMBELS mnemonic stand for, and is used for this type of chemical exposure.
diarrhea; urination; miosis (constriction of the pupils), muscle weakness; bradycardia, bronchospasm, bronchorrhea (discharge of mucus from the lungs); emesis (vomiting); lacrimation (excessive tearing of the eyes); seizures, salivation, sweating
Organophosphates
Cleaning with is type of chemical would kill the particle responsible for transmitting the Norovirus.
What is a chlorine-based product such as bleach diluted with water.
The two (2) major immune factors that produce the shock part of anaphylaxis.
What are Histamine and leukotrienes?
These are the three goals of treatment for a transfusion reaction.
What are stop the transfusion, counteract shock, and provide kidney perfusion?
This is a false assumption about the legal considerations concerning the patient with a behavioral emergency.
What is removing the patient from the environment as soon as possible to prevent the patient from becoming violent ?
Tricyclic antidepressant (TCA) overdose toxicity presents with theses signs and symptoms.
dry mouth, blurred vision, dilated pupils, sinus tachycardia, pyramidal neurological signs, and drowsiness
"red as a beet, dry as a bone, blind as a bat, mad as a hatter, hot as a hare, full as a flask."
This department is responsible for the monitoring of reportable disease weekly, monthly, and annually assists in the identification of any increases in disease occurrence.
What is the Public Health Department?
List three (3) conditions that present similar to anaphylaxis, but are not.
Syncope, Red man syndrome, Severe anxiety and respiratory distress, Wheezing and respiratory distress, Monosodium glutamate poisoning, Scombroid fish poisoning, Transfusion-related acute lung injury, ACE inhibitor angioedema
This acute condition presents with uncontrolled hemorrhage from IV sites, bleeding into joints, and, possibly, intracranial hemorrhage results from the severe reduction in clotting factors. Ultimately, death results from uncontrolled blood loss and organ failure.
What is disseminated intravascular coagulation (DIC)?