Poisoning

Question 1

What are the initial actions in a suspected poison pt?

Answer 1

Assess primary survey
EKG
Order safety companion or standard suicide precautions

Question 2

Initial survey begins how?

What is in coma cocktail?

Answer 2

ABCs

Hypoxia, hypoglycemia, opioids

Question 3

Anticholinergic Syndrome mnemonic?

Answer 3

Mad as a hatter
Blind as a bat
Hot as Hades
Red as a beat
Dry as a bone

Question 4

Organophosphate poisoning has what Mneumonic?

Treatment?

Answer 4

SLUDGE
Salivation, lacrimation, urination, diaphoresis/defecation, GI upset, Excessive Brady/tachycardia

Atropine, pralidoxime, decontaminate

Question 5

Activated charcoal avoided in what pts?

Answer 5

Somnolence - risk aspiration

Question 6

What is the lethal dose of Tylenol?

Measured how?

Toxic plasma level at 4 hours is what?

Answer 6

150 mg/kg

Rumak nomogram

150

Question 7

Acute ASA overdose pts appear how?

MOA?

Tx?

Answer 7

Tachypnea, vomiting, confused, febrile

Uncouple oxphos

Bicarb and hemodialysis

Question 8

Treatment of methanol or ethylene glycol poisoning?

Answer 8

Fomepizole or ethanol