Question

In: Nursing

Create a table that lists the primary chemical agents that the healthcare worker would possibly encounter...


Create a table that lists the primary chemical agents that the healthcare worker would possibly encounter as a result of a terrorist act. For each agent, list the symptoms associated with the agent, the precautions that the healthcare worker must take (if any), the treatment, and the prognosis.

Solutions

Expert Solution

CHEMICAL AGENTS SYMPTOMS TREATMENT

PROGNOSIS

BLISTER like nitrogen mustard, phosgene oxide, and sulfur mustard Burning , upper airway sloughing., tearing, itching, vomiting, shortness of breath, pulmonary edema, and nausea,

Mustard no antidote, lewisite – British Anti-Lewisite and supportive care.

It can cure sometime completely but sometime it returns on the same spot in tweeks, months or even years after the first blisters spot  appear.
BLOOD AGENTS like Cyanogen chloride and hydrogen cyanide lightheadedness,cyanosis, fatigue, headache,hypotension, loss of consciousness, Convulsions, metabolic acidosis, palpitations, hyperventilation, nausea, vomiting, metabolic acidosis,death in few minutes amyl nitrite inhalant 0.3 mL (12 ampules), sodium thiosulfate injection – 12.5 g/50 mL (2 vials), sodium nitrate – 300 mg/10 mL (2 ampules), 100% O2, amyl nitrite inhalant 0.3 mL (12 ampules), and hydroxocobalamin 5 g stronger and longer-lasting symptoms.
CHOKING AGENTSlike Chlorine, chloropicrin Chest tightness, dermal irritation, laryngospasm, mucosal irritation, pulmonary edema, shortness of breath, and wheezing

Manage secretions, oxygen, intubate and treat pulmonary edema with PEEP to maintain pO2 greater than 60 mm Hg.

High-dose steroids for the treatment pulmonary edema for nitrogen oxide.

The permanent damage to the lung tissues and heart failure
INCAPACITATIONlike BZ , LSD Confusion, tachycardia, skin burns ,dizzy, hypertension, runny nose, shortness of breath, tremors . Flush eyes and skin, treat symptomatically . temprerory and not lethal effect .

The above table consist the chemical agents  that are possibly encounter as a result of a terrorist act . The symptoms , precautions and treatment are also mentioned above .


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