Poisons Flashcards
(19 cards)
what is good for getting a time frame if someone has overdosed
ask them if they have text anyone before they did it
how do you reduce absorption of the poison
activated charcoal
bowel irrigation
how do you alter the metabolism of the poison
antidotes
how can you increase the elimination of the poison
kidneys responsible so can increase via urinary alkalinisation, haemodialysis, haemofiltration
treat paracetamol overdose with
n acetylcystein
treat tricyclic overdose
sodium bicarb
treat beta blocker overdose
glucagon
treat ethylene glycol and methanol overdose
ETHANOL AND FOMEPIZOLE
treat cyanide poisoning wuth
hydroxycobalamin, sodium nitrate, sodium thiosulphate
treat overdose with iron salts
desferrioxamine
treat opioid overdose
naloxone
treat overdose with organophosphates
atropine, pralidoxime mesylate
offer what prior to discharge
liason psych assessment
if overdose is accidental or of a child do what
notify the health visitor
what organ does paracetamol overdose damage
liver - hepatocyte damage and acute liver necrosis
how do you decide whether to treat a paracetamol overdose
bloods checked at 4 hours plotted on graoh if above line treat (if <8 hours at that point)
if paracetamol overdose and presented later than 8 hours ahead do what
start treatment and await bloods
how long is n acetyl cysteine given over
20 hours
what drugs can you check for toxicities in teh blood
paracetamol
salicylates
ethylen glycol
lithium
