Toxicology Flashcards
(16 cards)
1
Q
CCB unique S/Sx
A
- HyperGlycemia
- Metabolic acidosis
- Pulmonary edema
- Ileus
2
Q
Iron Toxicity Tx
A
- PEG (whole bowel irrigation)
- Antidote: Deferoxamine (Desferal) 15 mg/kg/hour
3
Q
Antipsychotics S/Sx
A
- NMS
- EPS
- QT/QRS Prolongation
4
Q
BB unique S/Sx
A
- HypoGlycemia
- Bronchospasms
5
Q
Dig S/Sx
A
- Vision changes (yellow halos)
- Arrhythmias
- HyperK
6
Q
Salicylate (ASA) toxicity
A
- RF: Acid/Base Disorders, HypoK, Hypo/HyperNa
- Antidote: Sodium Bicarb 50-100 mEq IVP
7
Q
TCAs S/Sx
A
- Anticholinergic
- Seizures
- Prolonged QRS
8
Q
TCAs (amitriptyline, doxepin, nortriptyline) Toxicity
A
- S/Sx: anticholinergic, prolonged QRS, seizures
- Antidote: Sodium Bicarb
- Seizure control: Benzo or Phenobarbital
9
Q
Salicylates: S/Sx
A
- Tinnitus and diaphoresis
- hypervent
- seizures
10
Q
A
11
Q
CCB and BB Toxicity Tx
A
- S/Sx: HypoTN, Brady, Arrhythmia, CNS depression
- Antidotes: Atropine (dec HR), Calcium (for CCB), Vasopressor (Norepi for BP, Epi for HR), Glucagon (3-10mg IVBolus), High Dose Insulin (drip at 0.5-1unit/kg/hr + Dextrose)
12
Q
Benzo/Barbituates Toxicity
A
- S/Sx: CNS depression, Brady, HypoTN, respiratory depression
- Antidote: Flumazenil (use in caution in pts w/ seizures)
13
Q
Digoxin Toxicity
A
- S/Sx: vision change, brady, arrhythmia, hyperK
- Antidote: Digibind (Digoxin Immune Fab)
- TBL = mg Dig ingested x 0.8 –> TBL/0.5 = # Digibind vials to admin
14
Q
Antipsychotics (Haloperidol, Aripiprazole, Clozapine, Olanzapine, etc) Toxicity
A
- S/Sx: NMS, EPS, SS
- EPS Tx: Benztropine IM or Benadryl IV/IM, then PO
- NMS Tx: D/C agent, rapid external cooling, Tx w/ Benzo + Dantrolene
- Serotonin Syndrome: D/C agent, add Benzo, aggressive cooling + Cyproheptadine
15
Q
Sedative (benzo) S/Sx
A
- CNS depression
- Brady
- HypoTN
- Respiratory depression
16
Q
What does Hemodialysis work for
A
- Alcohols
- Lithium
- Salicylates
- Theophylline
