Toxicology

Question 1

Alkalis

Answer 1

Copious water

Question 2

Anticholinergics

Answer 2

Physostigmine

Question 3

ASA

Answer 3

Bicarb

Dialysis can be helpful

Question 4

Benzodiazepines

Answer 4

Flumazenil (Romazicon)

Question 5

Beta Blockers

Answer 5

Glucagon

Question 6

Calcium channel blockers

Answer 6

Calcium gluconate

Question 7

Carbon monoxide

Answer 7

Oxygen, hyperbaric chamber

Question 8

Cocaine

Answer 8

Benzodiazepines

Question 9

Coumadin (warfarin)

Answer 9

Vitamin K

Question 10

Crotaline (Pit Viper)

Answer 10

CroFab, FabAv

Question 11

Cyanide

Answer 11

Sodium Thiosulfate
Sodium Nitrate
Amyl Nitrate

Question 12

Digitalis

Answer 12

Digibind, Digoxin Immune Fab

Question 13

Dilantin

Answer 13

Supportive Care

Question 14

Ethylene Glycol

Answer 14

IV Ethanol

Flomezipole

Question 15

Heparin/LMWH (Lovenox)

Answer 15

Protamine Sulfate

Question 16

Hydrocarbons

Answer 16

Intubate

Question 17

Hydroflouric Acid

Answer 17

Calcium Gluconate

Question 18

Isoniazid (INH)

Answer 18

Pyridoxine

Question 19

Iron

Answer 19

Deferoxamine

Question 20

Methanol

Answer 20

IV Ethanol or Flomezipole

Question 21

Opioids

Answer 21

Naloxone (Narcan)

Question 22

TCA’s

Answer 22

Bicarbonate

Question 24

Tylenol

Answer 24

Mucomyst/Acetadote

Question 25

Tinnitus
N/V
Respiratory Alkalosis which progresses to metabolic acidosis

Answer 25

Acetylsalicylic Acid poisoning

Question 26

How could someone get Reye’s Syndrome? And what is it?

Answer 26

ASA poisoning in peds. | Liver damage, which causes levels of ammonia to rise which increases ICP, and then leads to encephalopathy

Question 27

Stage I: flu symptoms Stage II: flu sx stop, liver failures occurs, RUQ pain, increased liver enzymes Stage III: peak liver enzymes, RUQ pain, increased liver enzymes Stage IV: resolution period

Answer 27

``` Tylenol Stages last 24 hrs Mucomyst N-acetylcysteine (NAC) Acetadote Stage III is the death stage ```

Question 28

``` SVT Ventricular dysthymias Coma Confusion Tremors Diabetes Insipidus like sx ```

Answer 28

Dilantin Supportive Care

Question 29

Elemental iron supplements

Answer 29

Common in children Deferoxamine -pink urine

Question 30

-olol Hypotension Bradycardia Conduction Delays (heart blocks)

Answer 30

Beta Blocker OD Glucagon Consider Pacing and fluids for hypotension.

Question 31

Organophosphates

Answer 31

Atropine & 2-Pam Chloride