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316 Emergency and Critical Care > Poisons > Flashcards

Flashcards in Poisons Deck (14)
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1

What are the 4 possible actions to treat patients with poison

Prevent further absorption
Emesis - should be induced for non-corrosive and non-narcotic poisons, as long as conscious and not seizuring (Apomorphine 1st 2hrs)
Gastric lavage (wash out substance but must still be in the stomach)
Activated charcoal - after vomiting charcoal absorbs the toxins and carrys them outside the body
IV Fluids, protect renal failure and replace fluids from vomiting
Supportive drug therapy - anticonvulsant and antacids
Specific antidotes - VPIS (veterinary Poisons Information service

2

what does the VPIS stand for

Veterinary Poisons Information Service

3

What is Theobromine poisoning

Chocolate poisoning - darker higher cocoa therefore more toxicity

4

What is the tx for Theobromine

Emesis, activated charcoal and IV fluids

5

What is Warfarin poison

Rodenticides such as rat bait

6

What is the tx for Warfarin poisoning

Patient can haemorrhage up to 7 days after ingestion
emesis and charcoal if quick.
Vitamin K to aid blood clotting and possible blood transfusion

7

What are the indications for warfarin poisoning

Petechiae - pinpoint haemorrhage to the gums with pale MM

8

What is Metaldehyde poisoning

Slug bait poisoning

9

What are the clinical signs for Metaldehyde

Seizures and other neurological signs.
Vomiting and Diarrhoea
Hyperthermia
Metabolic acidosis

10

What is the tx for Metaldehyde

Antiseizure drugs, keep cool and fluids

11

Ethylene Glycol

Antifreeze poisoning

12

What are the clinical signs for Metaldehyde

Ataxia
Vomiting
Dehydration
Renal failure

13

Treatment for Metaldehyde

Emesis and IV fluids

14

What are the contraindications to emesis

Toxin is caustic or acidic or petroleum. May cause more damage being vomited up.
Patient is depressed or seizing of a high risk of aspiration.
Species that are unable to vomit