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18 Cards in this Set
- Front
- Back
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After your friend is stung by a bee you quickly remove the stinger (your a hero), then you give him an NSAID for the swelling, aer you still a hero
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apparently your an asshole. that will extend the erythema
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like the human species, the female black widow is the only sex capable of poisoning someone to death, but the Black widow is no the only poisonous spider in the US. another is
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the brown recluse
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Your friend Bill Braski drank a half keg of beer then decided to try to catch some fish in your fish tank with his bare hands, you have scorpionfish, lionfish and stonefish in your tank, how do you treat his intense pain?
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just immerse the wound in 45 C water (hot water) which will inactivate the venom of all three.
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jellyfish, aneomes, and coral are all coelenterates they sting through what is called a
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pneumatocyst
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Your friend is surfing in mexico, not only does a car float by, but so does a jellyfish, he gets stung, what can you put on the sting to help him?
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lots of vinegar or any temp above 40 degrees C (hot water)
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a beach goer gets stung by a jelly fish, you rub some on it to get the pneumocysts off and apply a compression bandage. Dr. coyne tells you that you are:
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An idiot, becuase you should not rub a jelly sting or apply pressure becuase it might cause more stings. just put vinegar on it.
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you step on a echinoderm (sea urchin or start fish) what should you do to treat?
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immerse in 45C water for an hour
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vipers (viperidae) specifically crotilines (pit vipers) include what snakes?
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rattlesnakes, cottonmouths, copperheads, water moccasins
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elapidae includ what snakes?
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cobras, CORAL snakes
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Crotalines (pit vipers) cause what percent of all US venonmous snakebites?
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95 percent (rattlesnakes, cottonmouths, copperheads)
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for venomous snake bites what is a good course of action (generally)?
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remove any rings or bracelets, immobilize the limb, transport ASAP, take the person to a hospital
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In a pit viper, if you do not have sharp pain or signs of edema within an hour of the bite then...
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the bite was probably dry (no venom)
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What are some signs/symptoms associated with Elapida bites (coral snake)?
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little pain or adema 1-5 hours post-bite, neurological effects more prominent, ptosis, hypersalivation
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Your watchin the ER and a patient comes in who was biten by a snake. he begins to show neuotoxic deficits, what drug do you try?
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edrophonium
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if you suspect that your patient was bitten by a coral snake should you give antivenin if they do not look like they are in distress?
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yes, they can rapidly deteriorate
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what are the signs that tell you a person has been bitten by a venomous snake and needs Antivenin?
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edema of over half of the biten extremity, or signs of spontaneous bleeding at sties distant from teh wound, or if patient in cardiovascular/respiratory distress, or renal dysfunction
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When is Antivenin most effective?
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first 4 hours after the bite
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what should you do if you expect anaphylaxis?
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have epinephrine, diphenhyrdamine, steroids, and intubation equipment ready
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