How to Use This Course
Course: WB 1098
CE Original Date: October 16, 2007
CE Renewal Date: October 16, 2010
CE Expiration Date: October 16, 2012
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The goal of Case Studies in Environmental Medicine (CSEM) is to increase the primary care provider’s knowledge of hazardous substances in the environment and to help in the evaluation and treatment of potentially exposed patients. This CSEM focuses on cholinesterase inhibitors, including pesticides and chemical warfare nerve agents.
Two versions of the Cholinesterase Inhibitors, Including Insecticides and Chemical Warfare Nerve Agents CSEM are available.
- The HTML version provides content through the Internet.
- The downloadable PDFpdf icon [PDF – 1.88 MB] version provides content in an electronic, printable format, especially for those who may lack adequate Internet service.
- The HTML version offers interactive exercises and prescriptive feedback to the user.
To make the most effective use of this course, we recommend that you:
- Take the Initial Check to assess your current knowledge about cholinesterase inhibitors.
- Read the title, learning objectives, text, and key points in each section.
- Complete the progress check exercises at the end of each section, and check your answers.
- Complete and submit your assessment and posttest response online if you want free continuing education credit. You can print your continuing education certificate immediately after course completion.
This course is designed to help you learn efficiently. Topics are clearly labeled so that you can skip sections or quickly scan sections you are already familiar with. This labeling will also allow you to use this training material as a handy reference. To help you identify and absorb important content quickly, each section is structured as follows:
|Title||Serves as a “focus question” that you should be able to answer after completing the section|
|Learning Objectives||Describes specific content addressed in each section and focuses your attention on important points|
|Text||Provides the information you need to answer the progress check question(s) and achieve the learning objectives|
|Key Points||Highlights important issues and helps you review|
|Progress Check exercises||Enables you to test yourself to determine whether you exercises have mastered the learning objectives|
|Progress Check answers||Provides feedback to ensure you understand the content and can locate information in the text|
Upon completion of the Cholinesterase Inhibitors, Including Insecticides and Chemical Warfare Nerve Agents CSEM, you should be able to
|What are cholinesterase inhibitors?||
|What types of pathology do cholinesterase inhibitors cause?||
|What is the cholinergic toxidrome?||
|Clinical findings are due to a mixture of nicotinic and muscarinic effects||
|Effects on routine laboratory tests||
|Signs and symptoms: Differences in pediatric cases||
|Who is at risk for exposure? The exposure history||
|RBC and serum cholinesterase levels||
|Direct measurement of cholinesterase inhibitors and their metabolic byproducts||
|Management Strategy 1: Prevention of secondary exposure||
|Management strategy 2: Supportive care||
|Management strategy 3: Medications – Atropine||Identify
|Management strategy 3: Medications – 2-PAM||Describe
|Management strategy 3: Medications – Diazepam||Describe
|Syrup of ipecac, gastric lavage, cathartics, and activated charcoal||
|Public health and medico legal issues||
|The intermediate syndrome||Describe the
|Other issues related to cholinesterase inhibitor toxicity||