1. CNS Depression 2. Respiratory Depression 3. Miotic Pupil

Poisoning Flashcards by Shahab Ghaneh

Opium antagonists

Naloxan

Naltroxan

How well did you know this?

Not at all

Perfectly

Opium mix agonism antagonism

Pantazocine

Bupronorphine (B2)

How well did you know this?

Not at all

Perfectly

B2 absorption route ?

زیرزبانی

نه گوارشی

How well did you know this?

Not at all

Perfectly

Opium dx triad

CNS Depression
Respiratory Depression
Miotic Pupil

How well did you know this?

Not at all

Perfectly

Name opium agonists

B2
Teramadol
Methadone
Meprodin (pethidine)
Phentanil
Kodoin

How well did you know this?

Not at all

Perfectly

کی میوز نمیبینیم توی اپیوم ؟

دیر بیارنش هایپوکسی بکشه

How well did you know this?

Not at all

Perfectly

Which opioid present ARDS ?

Heroin

Methadone

How well did you know this?

Not at all

Perfectly

Treatment to ARDS due to opioid

Ventilation

Naloxan ⛔️

How well did you know this?

Not at all

Perfectly

Which opioid present seizure ?

Mepridine (Pethidine) (ARF)
Teramadol (Idiosyncratic)
Propoxy phen

How well did you know this?

Not at all

Perfectly

Treatment to Seizure due to opioid

Left lateral decubitus
O2
Diazepam

Naloxan ⛔️

How well did you know this?

Not at all

Perfectly

DDx opioid poisoning

CO P

MIotic
CNS Dep

How well did you know this?

Not at all

Perfectly

Naloxan dosage for opioid apnea ?

5 ampul 5 ampul
2 mg 2 mg

Max 25 ampul (10 mg)

How well did you know this?

Not at all

Perfectly

Naloxan dosage for opioid P W/O apnea

Addict

1/4 ampul 1/4 ampul
0.1 mg 0.1 mg

Prevent withdrawal syndrome

How well did you know this?

Not at all

Perfectly

Naloxan dosage for opioid P W/O apnea

Non addict

1 Ampul 1 Ampul

How well did you know this?

Not at all

Perfectly

Maintenance Naloxan dosage for opioid P

2/3 theraputic dose per 1h

How well did you know this?

Not at all

Perfectly

Bedridden period for methadone

24-48 h

How well did you know this?

Not at all

Perfectly

Bedridden period for heroin

24h

How well did you know this?

Not at all

Perfectly

Naloxan dosage for opioid P

Toddlers

1/10 - 3/10 mg/kg

How well did you know this?

Not at all

Perfectly

Naloxan dosage for opioid P

Infants

1/100 mg/kg

How well did you know this?

Not at all

Perfectly

Absolute naloxan contraindication ?

Acute MI

How well did you know this?

Not at all

Perfectly

Poisoning probability for relative response to naloxan

Clonidine
Na valproat
Captopril

How well did you know this?

Not at all

Perfectly

Who is body packer ?

Whom sowallows drug pack

How well did you know this?

Not at all

Perfectly

Sho is body stuffer ?

Whom inserts drug pack into his orifices

How well did you know this?

Not at all

Perfectly

Dx body packer/stuffer ?

How well did you know this?

Not at all

Perfectly

Dangerous body pack/stuff

Cocain Methyl apmphetamin Death

Rx body packer/stuffer ?

Surgery | Naloxan W/O upper limmit

Withdrawal syndrome ?

``` Agitation Diarrhea Vomiting Piloerection Myalgia ```

Rx Withdrawal syndrome due to excessive naloxan ?

Sedation (Bzn (midazolam)) Opioid ⛔️

Withdrawal syndrome sequela

Rhabdomyolysis | Patient suffer

Onset of infant Withdrawal symptom ? Heroin Methadone

Perinatal | 4-6 days

organophosphorus exps

کلروپریفوس | آمیتراز

organophosphorus etiology

حذف کولین استراز افزایش عمر استیل‌کولین کولینرژیک

Organophosphorus muscarinic presentation

Increased secretion (Bronchorrhea (Keller B) , lacrimation, sialorrhea, polyuria, diarrhea) Bradycardia (Keller B) Bronchospasm (Keller B)

Organophosphorus nicotinic presentation

Seizure Muscle fasciculation (knee) Tachycardia

Rx for Organophosphorus muscarinic

Atropin

Rx for Organophosphorus nicotinic presentation

pralidoxime

NG washing deadline

Case ``` Organophosphorus P LoC Seizure Fasciculation Rx ? ```

1. Intubation 2. Bzn (Diazepam) 3. NG washing 4. Atropin (With no limits) 5. Pralidoxime

Pralidoxime dosage

30 mg/kg in 1h stat | 8mg/kg per 1h for 48h = M

Conterindication NG washing

1. >1h 2. اسید و قلیا 3. الکل 4. فلزات سنگین 5. قرص برنج 6. LoC 7. هیدرو کربن

Indication WBI

س سرب ا آهن ل لیتیم فسفید روی

How to WBI

70 gr PEG + 1 L H2O

Conterindication charcol

All of NGT wo 1h

How to chacol

Adult 25gr + 25 gr lactolose/solbitol Children 1mg/kg

Indication dialisis

``` Melats متانول، متفورمین اتیلن گلیکول لیتیوم آنتی کانوالسانت تئوفیلین سالیسیلات ```

Indication MELATS dialisis

1. LoC 2. اختلال اسید و‌باز مقاوم به درمان 3. اختلال الکترولیتی مقاوم به درمان 4. هایپوتنشن مقاوم به درمان 5. Polmunary edema

اندیکاسیون قلیایی کردن ادرار

``` سک مفت سالیسیلات کلروفنو متفورمین فنی تویین تئوفیلین ```

چطور ادرار قلیایی کنیم

بی کربنات 1-3 meq/kg 2-3 vial

Miotic pupil

Opium Organophos Arsenic Pons hemo

Anti cholinergic toxidrome

``` پوست خشک هایپرترمی احتباس ادرار یبوست HTN تاکی کاردی میدریازیس بی قراری توهم ```

Adrenergic toxidrome

``` تعریق هایپرترمی احتباس ادرار یبوست HTN تاکی کاردی میدریازیس بی قراری توهم ```

Rx Adrenergic or Anti Cholinergic toxidrome

Bzn IV Diazepam 5-15mg Or Pill Diazepam/Clonazepam/Alperazolam

Rx HTN in adrenergic toxidrome

Bzn B blocker ⛔️

مدت بستری مصرف شیشه

شیشه 6-12 h

چی کسانی ترخیص طولانی ؟

``` ۱. مصرف دوز بالا ۲. خطرناک(مرگ موش، آهن، متفورمین،متادون) ۳. طولانی اثر (ارگانوفسفره، متادون، SR) ۴. مصرف چند دارو ۵. علاکندار ```

درمان فسفید آلومینیوم

``` Useless but 1. IV 2. Nاستیل سیستئین stat 2gr 3. 2-3 vial بی کربنات 4. شست و‌شو‌با پرمنگنات پتاسیم ۱ قاشق چای خوری + لگن آب ```

درمان فسفید روی | و ظاهر

PEG + Lavage Black powder

Arsenic appearance & etiology

White powder | Nerval paralysis gradually in 1-2 y

Real Aluminium phosphide appearance

Dark grey pills 🚫 | Coated by aliminium

Fake Aluminium phosphide | Names and appearance

قرص سیر قرص بنان سبز زیتونی

Aluminium phosphide etiology

``` Like CO Hypoxy Acidosis High blood viscosity End organ damage ```

Poisoning Flashcards

(61 cards)