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Thermal burn
clothes ignite from heat or flames produced by electrical sparks; usually severe and deep
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Chemical burn
when chemicals contact the skin or are ingested
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Treatment of anthrax dead
must be burned
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Precautions for anthrax
standard
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Precautions for small pox
extremely contagious; direct indirect or droplet precautions
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Acute radiation syndrome
dose rather than the source is the determinant
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Post anthrax exposure
hemorrhage, edema and necrosis by replication bacteria that release toxins
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When is small pox person contagious
maculopapular rash
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Possible survival
present with nausea and vomiting then have 24-48 hours latent period
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Improbable survival
more than 800 rad of total body penetrating irradiation; acute onset of vomiting, bloody diarrhea and shock; if any neuro signs and symptoms, then a lethal dose of radiation has occurred
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What do you give for shock
fluid replacement, LR, NS, meds, 3000 calories a day
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Vasoactive meds
contractility of the heart (dopamine, dobutamine), reduce workload of heart (nitro), cause vasoconstriction to increase BP (norepi); dosages should be tapered and weaned
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