Toxicology Flashcards
1
Q
Approach to Poisoned Pt
A
- ABCs
- Charcoal
- Gastric Lavage
- Ionized Diuresis
- Specific Antidotes
2
Q
Methemoglobin (metHb) Rx
A
IV Methylene Blue
3
Q
Heavy Metal Chelators
A
Dimercaprol Succimer Unithiol Edetate Calcium Disodium Penicillamine Deferoxamine Deferasirox Prussian Blue
4
Q
Lead Poisoning Rx
A
- Lead Lines on the Gingivae and metaphyses of long bones
- Acute: Tinnitus, Encephalopathy, GI
- Chronic: Anemia, Proteinuria, Wrist drop
Rx: Succimer (PO) Dimercaprol EDTA Penicillamine
5
Q
Arsenic Rx
A
- In pesticides
- Acute: Rice water stool, Garlic breath, seizures
- Chronic: Stocking Glove Neuropathy, Alopecia
Rx:
Succimer
Dimercaprol
Unithiol
6
Q
Iron Excess Rx
A
- Necrotizing Gastroenteritis
Rx:
Deferoxamine (IV)
Deferasirox (PO)
7
Q
Mercury Rx
A
- Pneumonitis, Auditory and visual loss, paresthesia, ataxia
Rx:
Succimer (PO)
Dimercaprol (IM)
Unithiol
8
Q
Copper/Wilson’s Dx Rx
A
Penicillamine
Treintene
9
Q
Opiates Rx
A
Naloxone
- WITHDRAWAL: Clonidine, Methadone
10
Q
Amphetamine & Cocaine Rx
A
Haloperidol
Lorazepam
- WITHDRAWAL: Bromocriptine, Amantadine
11
Q
Barbs Rx
A
Bicarb (Alkaline the urine)
12
Q
BZDs Rx
A
Flumazenil
13
Q
Hallucinogens (LSD) Rx
A
Haloperidol
Diazepam
14
Q
Malignant Hyperthermia Rx
A
Dantrolene
15
Q
Serotonin Syndrome Rx
A
BZDs
