Management of the Poisoned Patient Flashcards Preview

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Flashcards in Management of the Poisoned Patient Deck (23):
1

True or False.
Physostigmine may be helpful in antimuscarinic poisoning, but not for tricyclic overdose.

True

2

Clinical feature of opioid overdose (3)

PCR
pupillary constriction
comatose state
respiratory depression

3

Features of aspirin poisoning (5)

Coma
Hyperventilation
Acidosis (HAGMA)
Fever
Seizure

4

Features of sedative-hypnotic poisoning: (6)
Consider ____________ for benzodiazepine overdose

Hot Hot Hot DeCisioN:
Hypothermia
Hypotension
Hypoactive bowel sounds
Disinhibition
Coma
Nystagmus

flumazenil

5

Features of TCA (tricyclic antidepressant) overdose: (3)

3 Cs of TCA overdose:
Coma
Convulsions
Cardiotoxicity

NOTE: Correct acidosis and cardiotoxicity with sodium bicarbonate.

6

True or False.
Increased osmolar gap (difference between the measured serum osmolarity and predicted osmolarity) is produced by intoxicants of low molecular weight. Increased stool osmolar gap may be due to ethanol, methanol, ethylene glycol, diuretics, or isopropyl alcohol.

True

7

Antidote for acetaminophen

Acetylcysteine

8

Antidote for cholinesterase inhibitors

Atropine

9

Antidote for quinidine, TCAs

Bicarbonate

10

Antidote for fluoride, CCBs

Calcium

11

Antidote for iron

Deferoxamine

12

Antidote for caffeine, theophylline, sympathomimetics

Esmolol

13

Antidote for methanol, ethylene glycol

Ethanol, fomepizole

14

Antidote for benzodiazepines, zoldipem

Flumazenil

15

Antidote for beta-blockers

Glucagon

16

Antidote for hypoglycemic

Glucose

17

Antidote for cyanide

Hydroxocobalamin
Inhaled amyl nitrite plus IV sodium thiosulfate

18

Antidote for opioid analgesics

Naloxone

19

Antidote for carbon monoxide

Oxygen, hyperbaric oxygen

20

Antidote for muscarinic receptor blockers

Physostigmine

21

Antidote for organophosphates

Pralidoxime plus atropine

22

Antidote for heparin

Protamine sulfate

23

Antidote for warfarin

Vitamin K, FFP

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