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Nayla clinical disciplines > Overdoses part 2 > Flashcards

Overdoses part 2 Flashcards

1
Q

What are effects of hydrofluoric acid ingestion

A 
Pain 
Arrhythmia, QT prolongation (ECG) 
Pulmonary edema (CXR)
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2
Q

How do yuo treat hydrofluoric acid ingestion

A

Copious water irrigation
Calcium gluconate
(providers, wear souble gloves for protection)

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3
Q

What are effects of a cocaine OD

A 
Agitation 
Seizure 
tachycardia 
HTN
hyperthermia
hole in septum
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4
Q

How do you treat cocaine OD

A

Benzo’s (ativan, valium, diazepam)
Cool mist
NO BB

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5
Q

What does a UA detect in cocaine OD

A

Benzoylecgomine levels

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6
Q

What are effects of PCP (phenylcyclidine) OD

A 
Euphoria, super human strength
Agitation, salivation
Hallucinations
Tachycardia
HTN
Nystagmus, miosis
rhabdo
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7
Q

How do you treat PCP OD

A

IVF

Benzodiazepines

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8
Q

What are effects of opiate OD

A 
Lethargy, coma
seizure
apathy
miosis
hyperthermia
decreased RR
bradycardia, hypotension 
urine retention 
decreased DTR
flaccid muscles
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9
Q

How do you treat opioid OD

A

NARCAN (naloxone)

fun fact, narcan+tramadol=seizure

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10
Q

What are effects of MDMA (ecstasy)

A

Hot, hallucination, increased tactile sensitivity
nausea, abd pain, stroke, sz
chronic: decreased cognition and memory, psychosis
Makes you grind your teetn (pacifier)

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11
Q

How do you treat MDMA OD

A

Benzodiazepines (ativan, valium, diazepam)

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12
Q

What are effects of GHB (gamma hydroxybutyrate) OD

A 
delerium
confusion
salivation
vertigo
decreased RR/HR
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13
Q

How do you treat GHB OD

A

supportive

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14
Q

GHB was initially created to do what

A

stimulate GH release

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15
Q

What are effects of Ketamine OD

A 
dream like state 
hallucinations
increased BP/HR
impaired motor function
amnesia
decreased RR
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16
Q

How do you treat Ketamine OD

A

supportive

17
Q

What are effects of Rohypnol (roofies)

A

GI/visual disturbance
urinary retention
anterograde amnesia
worse when mixed with alcohol

18
Q

How do you treat Rohypnol OD

A

supportive

19
Q

What are effects of Hydrocarbon (inhalant)

A

chemical pneumonitis with VQ mismatch (cough, choking, dyspnea)
CNS toxicity
comiting
aspiration if a low viscosity inhaled (gas, kerosene, turpentine)

20
Q

How do you treat Hydrocarbon OD

A

symptomatic
aggressive IV fluids
inhaled Beta agonist
avoid dopamine, norepi, or epi for BP support

21
Q

What are overall effects of types of hydrocarbons

A

Petroleum distillation: pulmonary complications

Turpentine and pine oil: GI complications

Nayla clinical disciplines (8 decks)

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