Poison control Flashcards
What does poison control do
- drug identification
- drug info
- mostly called for children <5
poison preventions tips
- child proof caps & containers
- storage location
- environmental precautions
- taking appropriate doses
- disposing of unused drugs
- never mix household products
What info to get about exposure
- age & weight
- health hx
- time of exposure
- route of exp
- present symptoms
- exact name/dose/strength of med
- formulation, occupation, possible notes
What are the ABCDE management
- Airway
- Breathing
- circulation (O2)
- Dextrose & decontamination
- EKG & elimination
Nonpharm remedies for exposures (5)
- Inhalation: remove from exposure area
- Topical/Derm: rinse w/ soap &h20
-Ingestion: NOT RECOMMENDED to use gag reflux or fluids
-orogastric lavage
-hemodialysis
Who should undergo orogastric lavage? (4)
People who consumed meds that have
- potential to produce serious toxicity
- no antidote exist
- time window gives reason to believe agent may still be in stomach
- substance will fit through tube
Who should undergo hemodialysis?
Patients who consumed meds that have
- no other effective elimination routes
- potential to cause serious toxicity
- must be able to be removed though filtration
-EXTRIP workgroup
thoughts on syrup of ipecac
never use that hoe, discard it if still in homes, has been d/c by FDA
GI decontamination options for poisoning
Activated charcoal
Whole Bowel Irrigation
What drugs/sub will activated charcoal not work for
Gasoline, Alcohol, Ionized metals (lithium)
activated charcoal dosing, se and pearls
- 1g/kg w/in 1 hr of ingestion
- sorbitol helps with palatability
- ADR: Vomiting, black tarry stool
- need protected airway
- not good for XR products
Whole bowel irrigation dosing and pearls
- 1-2 L/hr PO/NG until rectal clear
- minimizes absorption time in GI tract
- good for XR products and body packers
What drug/sub causes adrenergic/sympathomimetic effects
Methamphetamine, coke, bupropion
What drug/sub causes cholingeric effects
pesticide
What drug/sub causes sedtaive-hypnotic effects
diazepam (benzos)
