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Intoxications Urgences > SYNDROMES > Flashcards

SYNDROMES Flashcards

1
Q

PRÉSENTATION SD OPIACÉS

A

Patient obnubilé voire comateux
Myosis
Bradypnée
+/- bradycardie - hypotension

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2
Q

CAUSE DE SD OPIACÉS

A

HÉROÏNE
MORPHINE
OPIACÉS NATURELS (codéine, codotheline,pholcodine)
SUBSTITUTS À L’HÉROÏNE (MÉTHADONE, BUPRENORPHINE)
DEXTROPROPOXYPHENE
TRAMADOL

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3
Q

Rôle de la naloxone

A

Antagoniste buprenorphine

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4
Q

SYNDROME CENTRAL DES ANTICHOLINERGIQUES

A 
Confusion
Agitation
Hallucinations
Tremblement
Syndrome pyramidal
Convulsions
Fièvre
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5
Q

SYNDROME NEUROVÉGÉTATIF DES ANTICHOLINERGIQUES

A

Mydriase
Tachycardie
Sécheresse des muqueuses
Rétention d’urine

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6
Q

Médicaments incriminés dans SD ANTICHOLINERGIQUES

A

Antidépresseurs tricycliques

AntiH1

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7
Q

SD CHOLINERGIQUE

–> muscarinique

A 
Myosis
Bronchoree
Bronchospasme
Bradycardie 
Douleurs abdominales 
Vomissements diarrhées
Sueurs
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8
Q

SD CHOLINERGIQUE

–> nicotinique

A

Fasciculations musculaires
Paralysie
Tachycardie
HTA

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9
Q

SD CHOLINERGIQUE

–> central

A 
Stimulation initiale puis dépression 
SNC
AGITATION
CÉPHALÉES
TREMBLEMENT 
ATAXIE
CONVULSIONS
COMA

Peu spécifique

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10
Q

SD CHOLINERGIQUE

–> étiologie

A 
Insecticides anticholinesterasiques (carbamates organophosphores)
Gaz de combats organophosphores
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11
Q

SD ADRÉNERGIQUE ==> troubles neurologiques

A

Agitation
Tremblement
Convulsions
MYDRIASE!!!

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12
Q

SD ADRÉNERGIQUE ==> neurovégétatif

A 
Palpitations 
Tachycardie 
Hypotension (effet bêta)
Hypertension (effet Alpha)
Troubles du rythme (TSV, TV)
INSUFFISANCE CORONAIRE
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13
Q

SD ADRÉNERGIQUE ==> troubles métabolique

A

Acidose lactique

Hypokaliémie de transfert

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14
Q

SD ADRÉNERGIQUE ==> étiologie Alpha mimétiques

A

Cocaine
Crack
Amphétamine
Ecstasy

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15
Q

SD ADRÉNERGIQUE ==> étiologie Beta mimétiques

A

Théophylline
Salbutamol
Caféine

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16
Q

SD SEROTONINERGIQUE effets

A 
Présence de >3 signes
Confusion 
Fièvre
Agitation 
Tremblement
Myoclonies 
Diarrhée 
Hyper-reflexie 
Incoordination motrice
17
Q

SD SEROTONINERGIQUE étiologie

A

Exclusion infection/cause métabolisme/ sevrage

ISRS
ANTIDÉPRESSEURS TRICYCLIQUE
IMAO
ECSTASY

18
Q

Étiologie intoxication cardiotrope

A 
Antidépresseurs (citalopram, valafaxine, antidépresseurs tricycliques)
Antipaludeens
Bêtabloquants 
Carbamazepine
Phenothiazine
Cocaine
19
Q

ECG d’une intoxication à cardiotropes

A 
Ondes t plates
allongement QT
Bloc intra-ventriculaire
Arythmie ventriculaire 
Asystolie
20
Q

Chocs Cardio génique et vasoplegie liée à intoxication cardiotropes

A 
Syndrome métabolique (hyperkaliemie, acidose lactique)
Syndrome neurologique (coma convulsif)
Syndrome pulmonaire (ARDS)

Intoxications Urgences (7 decks)

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