Toxicological emergencies

Question 1

Define miosis

Answer 1

Pinpoint pupils

Question 2

What medication should be given for VT refractory to sodium bicarb?

Answer 2

Lidocaine:
1 to 1.5 mg/Kilogram every 3-5 minutes.

Infusion should be 1 mg greater than the milligram per kilogram amount given in the bolus. And that amount should be given per minute.

Additional bolus of lidocaine should be given at 5-10 minutes.

Question 3

What are the doses for atropine in the case of organophosphate poisoning?

Answer 3

Adult: 1-2 mg
CETT 2-4 mg

Pediatric 2-10: 1 mg
CETT 2 mg

Pediatric 2: .2 mg/kg to max of 1 mg
CETT: .03 mg/kg

Question 4

What are the three medications for calcium channel blocker and beta blocker overdose is?

Answer 4

Calcium chloride: 500 to 1000 mg

Glucagon: 1 to 2 mg
Repeat every five minutes

Aggressive use of vasopressors should be initiated if hypotension ensues.

Atropine: .5 mg
This may be effective in low degree heart blocks, but will definitely not be effective and high degree heart blocks.

Question 5

What vital should always be checked with beta blocker overdoses?

Answer 5

BG

Question 6

What do epinephrine and dopamine agonize?

Answer 6

These are both beta agonists, and may competitively antagonize The effects of the beta blocker, but the amount of medication may be several orders of magnitude higher than normal doses for ACLS.