*Toxicology Flashcards

(72 cards)

1
Q

abnormal labs in tylenol overdose

A

LFT elevated
low glucose
phosphate abnormal

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2
Q

asprin overdose

A

N/V

tinnitis

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3
Q

acid base in asprin overdose

A

r. alkalosis

can progress to m. acidosis

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4
Q

cause of REye’s disease

A

pediatric asprin overdose

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5
Q

complications of asprin overdose

A

liver & brain damage
high ICP possible encephalopathy
hepatic encephalopathy

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6
Q

labs in asprin overdose

A

r. alkalosis progressing to m. acidosis

high lactate b/c liver damage

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7
Q

treatment of benzodiazepine overdose

A

activated charcoal if ingested

flumazenil

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8
Q

Fluzemanil

A

benzo overdose

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9
Q

pushing Flumazenil too fast

A

seizures

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10
Q

antidoate for Beta Blocker overdose

A

glucagon

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11
Q

s/s of BB overdose

A
low bp/hr
conduction delays
low glucose
p. edema
bronchospams
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12
Q

glucose in BB overdose

A

low glucose

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13
Q

overdose with low glucose

A

consider BB overdose

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14
Q

treat BB overdose

A

glucagon
pacing, atropiner
IVF for low bp

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15
Q

s/s CaChB overdose

A

low BP/HR/conduction delays
m. acidosis
high glucose

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16
Q

treatment of CaChB overdose

A

activated charcoal
atropine/pacing
IVF for low BP

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17
Q

s/s of digoxinoversoe

A

flu-like
yellow green halos
risk of high K
slurred upstroke on ERS

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18
Q

avoid if digoxin overdose

A

avoid electricity like pacing/cardioversion

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19
Q

EKG of digoxin overdose

A

slurred upstroke on ERS

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20
Q

use of phenytoin (DIlantin)q

A

seizures

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21
Q

s/s of phenytoin (Dilantin) overdose

A

SVT, coma, confusion, tremores

DI-like s/s

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22
Q

treat phenytoin (Dilantin) overdose

A

IVF/O2, supportative

maybe gastric lavage

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23
Q

treat cocaine overdose

A

IVF, benzos

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24
Q

treat PCP

A

sedatives. no ketamine b/c delirum can worsen

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25
risk of MDMA
overheading low Na serotonin syndrome
26
treat alkalis
copious water
27
treat anticholinergic
phyostigime
28
treat ASA
bicarb
29
treatment BB
glucagon
30
treat CaChB
Calcium gluconate
31
treat cocaine
benzos
32
treat coumadin
vitamin K
33
treat pit viper
CroFab, FabAV
34
treat cyanide
sodium thiosulfate, sodium nitrite/amyl nitrate
35
treat phenytoin
supportative
36
treat ethylene gluycol
IV ethonol or Femepizole
37
treat heparin
protamine sulfate
38
treat hydrocarbons
intubate
39
treat hydrofluoric aicd
calcium gluconate
40
treat INH
pyridoxine (vitamin B6)
41
treat iron
Desferal
42
treat methanol
IV ethanol, Fomenizole
43
treat organophosphates
atropine & 2-PAM
44
atropine & 2-PAM
organophosphates
45
treat alcohol overdose
IV ethanol or Fomepizole
46
Fomepizole
alcohol overdose
47
Desferal
iron overdose
48
amyl nitrite/sodium nitrite/sodium thiosulfate
cyanide
49
glucagon as an antidote
BB
50
what does a tricyclic antidepressant overdose look like
anticholinergic-like
51
EKG of tricyclic antidepressant overdose
widened QRS with prolonged QT
52
treatment of tricyclic antidepressant overdose
bicarb, IVF target pH is 7.5-7.55 vasopressors if refractory low bp
53
how to give rx for iron overdose
Desferan creates rose colored urine and normal once yellow again
54
Antizole
treat toxic alcohols
55
ABG of toxic alcohols
lethal anion-gap acidosis over 16
56
ethylene glycol
antifreeze
57
methanol
windshield wiper fluid
58
treat alcohol overdose
IV ethanol, Antizol, hemodialysis
59
complication of hydrocarbons
chemical pneumonitis. decreaed viscosity causes aspiration | DO NOT induce vomiting
60
toxidrome of pesticides
organophosphate = cholinergic toxidrome
61
s/s of cholinergic toxidrome
SLUDGE/DUMBELS oraganophosphates neve gases like sarin & Vx
62
SLUDE/DUMBELS
cholinergic toxidrome/organiophosphates | defecation (GI distress/emesiss)
63
Vx s/s
cholinergic toxidrome | SLUDGD/DUBELS
64
other s/s of nerve gas & organophosphates
SLUDGE/DUMBBELS | nicotinic stimulation = tachycardiat, HTN, fasciculations, paralysis of respiratoyr muscles
65
death from nerve gas/organophosphates
paralysis of respirtory muscles
66
treat organophosphate overdose
atropine to decrease aireay secreations pralidoxime 2-PAM (crowbar organophophate off of ACh) benzos for seizures
67
atropine overdose
anticholinergic
68
benadryl overdose
anticholinergic
69
tricyclic antidepressant overdose
anticholinergic
70
anticholinergic toxierome s/s
``` mad as a hatter - AMS blind as a bat -mydrisasis red as a beet hot as a hare dry as a bone ```
71
rx for anticholinergic overdose
benadryl/atropine, tricyclic antidpressants... atropine for secreations physostigimine pushed 1mg/min
72
most important intervention for poisionings/overdose
revert back to ABC & antidote