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Unit 15 - Community Preparedness: Disaster and Terrorism
Test 3
41
Nursing
Undergraduate 4
11/11/2014

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Term
What are the 3 types of disaster?
Definition
- Natural
- Accidental
- Terrorism
Term
What is an example of a natural disaster?
Definition
Tornadoes
Term
What is an example of an accidental disaster?
Definition
Chernobyl meltdown in former Soviet Union
Oil rig collapse in Gulf of Mexico
Term
What is an example of a terrorist disaster?
Definition
Twin tower attacks in 9-11-01
Term
What are the phases of emergency response?
Definition
1.) Preparedness
2.) Mitigation
3.) Response
4.) Recovery
5.) Evaluation
Term
What is the preparedness stage?
Definition
Identify all hazards
Proactive planning
Evaluate possible damage

Identification of Hazards
Analysis of Vulnerability
National Response framework
Term
What is the mitigation stage?
Definition
Take measures to limit damage, disability, and loss of life.

Effort to prevent identified risks from causing a disaster
Efforts to lessen the impact of a disaster by initiating measures to limit damage disease, disability, and loss of life among the members of the community
Term
What is the response stage?
Definition
National Incident Managemet System
Incident Command System

Implementation of disaster plan
Provide emergency care
Restore communication and transportation
Term
What is the recovery stage?
Definition
Stabilization
Return to normal status

Returning to a previous status
An epidemiologic analysis of adverse health effects after the disaster.
Term
What is the evaluation stage?
Definition
Assess the effectiveness of the plan

Learn from the past
Prepare for future
Term
What is the nurse's role in disaster management?
Definition
Why doesn’t the police, firefighters, and emergency medical technicians just take care of it?”
“What role do I have in all this?”
Disaster preparedness and management competencies
Field Triage
Term
What is red?
Definition
critical Unstable, requires immediate intervention
Term
What is yellow?
Definition
Urgent Stable but may deteriorate
Term
What is green?
Definition
Delayed Injured or ill but stable and not likely to deteriorate

Injured and ill but stable and walking
Term
What is black?
Definition
expectant Dead or non-salvageable given available resources
Term
What is step one of the START field triage?
Definition
Say come to me. If they can walk, they are green.
Term
What is step two of the START field triage?
Definition
Do Respiratory, Pulse, Mental Status and determine status of others
Term
If RR rate is greater than 30 or less than 10, a patient is what?
Definition
RED (RR)
Term
If a RR is absent, the patient is what?
Definition
BLACK
Term
If the RR is less than 30 but greater than 10 the patient is what?
Definition
YELLOW (RR)
Term
If there is NO pulse and the capillary refill is greater than 2 seconds, the patient is what?
Definition
RED (P)
Term
If there is a pulse and the capillary refill is less then 2 seconds, the patient is what?
Definition
YELLOW (P)
Term
If the patient can follow simple instructions, they are?
Definition
YELLOW (M)
Term
If the patient cannot follow simple instructions they are?
Definition
RED (M)
Term
What are the viruses used in bioterrorism?
Definition
-Anthrax
-Botulism
-Plague
-Smallpox
-Tularemia
-Ebola
-Lassa Fever
-Arenavirus
Term
What is anthrax?
Definition
spore-forming bacterium

infected via inhalation
Term
What is botulism?
Definition
spore-forming bacterium found in soil and contaminated food.

infected via ingestion
Term
What is the plague?
Definition
bacterium found in fleas and rodents

infected via contact w/ vector
Term
What is small pox?
Definition
an acute contagious viral disease, with fever and pustules usually leaving permanent scars.

airborne
Term
What is tularemia?
Definition
Tularemia is a disease of animals and humans caused by the bacterium Francisella tularensis. Rabbits, hares, and rodents

infected via contact w/ vector
Term
What is ebola/lassa/ and arena virus?
Definition
Hemorrhagic fevers that are infected via rat droppings and contact with infected people.
Term
What is Ricin?
Definition
a highly toxic, naturally occurring lectin (a carbohydrate-binding protein) produced in the seeds of the castor oil plant, Ricinus communis. A dose of purified ricin powder the size of a few grains of table salt can kill an adult human

BIOTOXIN
Term
What is Mustard gas?
Definition
Blistering agent used in war
Term
What is hydrogen fluoride?
Definition
A caustic

able to burn or corrode organic tissue by chemical action.
Term
What is chlorine?
Definition
Choking/pulmonary agent
Term
What is fentanyl?
Definition
Fentanyl depresses central nervous system (CNS) and respiratory function

Incapacitating agent
Term
What is warfarin?
Definition
Long-acting anticoagulants
Term
What is sarin?
Definition
Nerve agent

Like other nerve agents, sarin attacks the nervous system by interfering with the re-absorption of neurotransmitters at neuromuscular junctions. Death will usually occur as a result of asphyxia due to the inability to control the muscles involved in breathing function.
Term
What is mercury?
Definition
A metal that can cause poisoning
Term
What is Benzene?
Definition
Human exposure to benzene is a global health problem.[vague] Benzene targets liver, kidney, lung, heart and the brain and can cause DNA strand breaks, chromosomal damage, etc.

Organic solvent
Term
What is Mace?
Definition
A gas used to control riots and people that causes tearing of the eyes and difficulty breathing
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