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By Jerrold B. Leikin, Robin B. McFee, Robert Kerscher
Treating nuclear, organic, and chemical agent exposures offers a different set of demanding situations. those eventualities frequently contain a number of exposures, occasionally even mass exposures, from a unmarried, frequently poorly-defined, occasion. Early indicators should not particular and will frequently be variable. Laboratory analyses will be required from environmental, usually nonbiological, specimens. Scene evaluate and pre-hospital decontamination may possibly turn into crucial intervention. health center source usage needs to be a attention. Even the pathologist acting autopsies wishes sufficient guidance.
It is with those concerns in brain that the instruction manual of Nuclear, organic, and Chemical Agent Exposures was once created. Taking a concise but entire, scientific method of the remedy of those exposures, the authors supply concise info on radiation elements, organic brokers, chemical pollutants, laboratory exams, and antidotes. The booklet comprises essays on themes comparable to box id and Decontamination of poisons, Bioterrorism and the outside, and Mass Exposures regarding the Pediatric inhabitants. a short evaluation of the contents will inform you that this e-book comprises the instruments you wish whilst dealing with the ambitious projects of diagnosing and treating nuclear, organic, and chemical agent exposures
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Extra info for Handbook of Nuclear, Biological, and Chemical Agent Exposures
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Usamriid. mil/). 10. USAMRIID’s Medical Management of Chemical Casualties Handbook , 4th ed, Fort Detrick, MD: Chemical Casualty Care Division, USAMRIID , 2001. 20 POISON ANTIDOTE PREPAREDNESS IN HOSPITALS Poison Antidote Preparedness in Hospitals Anthony M. Burda, RPh, DABAT Illinois Poison Center, Chicago, Illinois Michael Wahl, MD Advocate Illinois Masonic Medical Center and Illinois Poison Center, Chicago, Illinois Christina Hantsch, MD Loyola University Medical Center and Illinois Poison Center, Chicago, Illinois The quantities of medications listed in the IPC’s (Illinois Poison Center’s) antidote list are suggested guidelines; the amounts may be adjusted based on factors such as anticipated usage in the hospital’s local area, the nearest alternate sources of antidotes, the distance to tertiary care institutions, etc.
21 Illinois Poison Center Antidote List Antidote Poison/Drug/Toxin 22 N-Acetylcysteine (Mucomyst† ) Acetaminophen Carbon tetrachloride Other hepatotoxins Amyl nitrite, sodium nitrite, and sodium thiosulfate (cyanide antidote kit) Acetonitrile Acrylonitrile Bromates (thiosulfate only) Chlorates (thiosulfate only) Cyanide (eg, HCN, KCN, and NaCN) Cyanogenic glycoside natural sources (eg, apricot pits and peach pits) Hydrogen sulfide (nitrites only) Laetrile Nitroprusside (thiosulfate only) Smoke inhalation (combustion of synthetic materials) Suggested Minimum Stock Rationale/Comments Quantity 600 mL in 10-mL or 30-mL vials Acetaminophen is the most common drug of 20% solution involved in intentional and unintentional poisonings.
Note: 20-40 vials or more may be needed for moderate to severe envenomations. The antivenin must be administered in a critical care setting since it is an equinederived product. Stock in pharmacy. Recently FDAapproved product that is a possible alternate to equine product. May have lower risk of hypersensitivity reaction than equine product. Average dose in premarketing trials was 12 vials, but more may be needed. Note: Store in refrigerator. See equine antivenin also. Latrodectus envenomations are very rare in Illinois.