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Flashcards in Poisoned pt Deck (34):
1

initial considerations for all pts

airway, C spine protection, ventilation and circulation

2

all pts with altered mental status should get

thiamine
glucose

3

if thiamine and glucose don't work, pt gets

naloxone

4

Things to get in a hx

try to identify the agent of poisoning
what were they dping immediatly propr to becoming ill

5

sweating, pupilarty constriction, lacrimation, wheezing, cramping, vomiting, beadycardia, hypotension, diarrhea, depressed respiration

cholinergic/anticholinesterase syndrome

6

can cause cholinergic/anticholinesterase syndrome

organophostphates, carbamates

7

dry mouth, dysphagia, blurred near vision, tachycardia, dry skin, hyperthermia, flushing, tachycardia, seziures, hallucinations, delusions

anticholerginic (antimuscurinic) syndrome

8

can cause anticholerginic (antimuscurinic) syndrome

atropine, scopallamine, TCAs, jimson weed, some mushrooms

9

dysphonias, dysphagia, rigidty, tremor, toricollis, lanyngospasm

extrapyramidal syndrome

10

can casue extrapyramidal syndrome

antidopamenogeric drugs, also strycninie and tetanus

11

hypoxia, headache, altered mental status, n/c, cardiac dysfunction, acidoscis

hemoglobinopathy syndrome

12

causes hemoglobinopathy syndrome

CO (especially in the winter)

13

flu like sx

metal fever

14

pinpoint pupils, respiratpry depression, and hypotension

opoid intox

15

nervous, tremor, sweating, hypertension, tachycardia

sympathomimetic excess

16

mydriasis, piloerection, runny nose, lacrimation

opioid withdrawal

17

withdrawal from these can cause life threataning sx

non opioid CNS depressant withdrawal

18

altered mental atatis, hypereflexia, spacity, hypertsnsion and hyperthermia

serotonin sydrome

19

can cause wide QRS

TCAs, phenothiazinesm antidysrythmics

20

can cause sinus bradycardia

digitalis, beta blockers, CCBs, cholingernic toxicants

21

metabolic acidosis can be caused be

asprin, methaon, ethylene glycol, iron

22

tx for seziures in a toxicological setting

benzos, then phenobarbitol and diprivan if needed

23

tests to order in suspected poisoning

electrilytes, BUN, creatinine, glucose, blood gases, LFTs, EKG. EXTRA BLOOD

24

serum levels needed to manage:

acetominephen, ethenol. iron, theiphylline, digoxin, asprin, alchohols

25

can neurilize iodine

starch

26

can neutralize HF

calcium saklts

27

antidote for iron

deferozamine

28

antidote for organophosphates/carbamates

atropine

29

antidote for cyanide

hydroxocobalmin

30

antidote for methanol or ethykene glycol

ethanol or methyl pyrazole

31

anitdote for CO

O2

32

sntidoe for TCA

sodium bicarb

33

when you can attempt elimination for poisoning

refractory hyptension/seziures/arrhyhmias in theophylline
deterioration despite full supportive care
overwhelming dose (ex: methanol)
impairment of elimination routes (ex: kidney failure)
severe disease preceding poisoning

34

ways of treating posining by elimination

repeated doses of charcol, forced diurssis, ion trapping in urine, hemodyalsis, hemoperfusion, hemofiltration, plasmapherisis, exchange transfusion