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Bio-Chemical Warfare
Term | Definition |
---|---|
N-B-C | nuclear- biology- chemical |
Bio Terrorism | Potential for large # of victims Potential for panic Potential to mimic endemic infectious disease |
-endemic | -Always present -We can't get rid of it -Examples: Flu, Polio |
Indicators of Bio Terrorism | -unusual / not a naturally occurring dis. -larger # of cases -Point of source outbreak (can be traced to a specific area) -Aerosol route of infection (unless extremely virulent) -Limited geographical area -Low attack rate in person in filtered air |
Routes of Infection | -Aerosol -Percutaneous -Oral (contaminated food / water) -Inhalation (biggest potential for mass casualty) |
What is Inhalation Anthrax | -No annual occurrence, no known human to human transmission -incubation period 1-6 days or up to 45 days -Present: Fever, Malaise, Cough, Chest discomfort, Dyspnea and will continue to get worse -Tx: antibiotics |
What is the Pulmonic Plaque | -Incubation period 2-3 days -Droplet precautions -Present: High Fever, Chills, Hemoptysis, Toxemia, Shock, Strider, etc -Tx: antibiotic (streptomyocin) |
What is Small Pox | -incubation period 7-17 days -no natural occurrence -Droplet & airborne |
What is Botulism | -neuromuscular problem |
Hyperbaric Medicine | -the use of 100% oxygen under pressure -Hyper = Increased Baric= Pressure -Hyperbaric= Increased Pressure |
UHMS | -undersea hyperbaric medical society -international scientific organization |
Monoplace Chamber | -a single person chamber, compressed with 100% oxygen -There is a decompression process: has to be released gradually -If not done correctly, you could kill them |
-Henry's Law | (Solubility) -As you increase pressure, you increase the amount of molecular particles that can dissolve in the blood as a molecule. |
-Effects of Hyperbaric medicine | -increase neuro vascularization formation -reduces edema -enhanced fibroblast proliferation -enhanced collagen formation -increase endothelial nitric oxide synthase and production -enhanced polymorphonuclear cell fxn (destruct bacteria) |
-Complications of HBO | -confinement anxiety -Oxygen toxicity -Hypoglycemia- metabolism changes. Some patients may need to be given snacks -barotrauma (difference in inner ear pressure) -decompression illness -fire |
Indications for HBOT | -air gas embolism -decompression illness -Cmonoxide poisoning -severe blood loss -diabetic wounds -gas gangrene -compromised skin graft -severe crush injuries -burns |