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Flashcards in Toxidromes Deck (27)
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1

Management

1) ABCs, ECG, pO2
2) identify toxidrome
3) antidote

2

supportive care

intubation, IV fluids for hypotension, cardiac monitor with pO2, neuro assessment, glucose

3

5 basic toxidromes

sympathomimetics, opiate, anitcholinergic, cholinergic, sedative hypnotics

4

Sympathomimetics SX

hyperthermia, diaphoresis, myriasis, agitation, tachycardia, combativeness, hypertension

5

Caffeine lethal dose

150mg/kg

6

Caffeine OD

1) tremor, restlessness, NV, tachycardia, agitation
2) seizures, delirium, SVT, hypokalemia, hyperglycemia
3) HTN with low diastolic pressure

7

sympathomimetics

Caffeine, Cocaine, amphetamines, ephedrine

8

Opiates toxidrome

miosis, respiratory depression, CNS depression

9

Alice in Wonderland Syndrome

Micropsia- everything around you is smaller than it should be

10

Opioid TX

ventilation, Naloxone, NAC

11

Anitcholinergic toxidrome

diminished parasympathetic activity.
Hot as Hades- fever
Mad as a hatter- delerium
Fast as a hare- tachycardia
dry as a bone- anhidrosis
red as a beet- flushing
full as a tick- urinary retention
Blind as a bat- mydriasis

12

anticholinergic TX

bzd, physostigmine

13

cholinergic toxidrome

increased parasympathetic activity (rest and Digest)
DUMBB BELS
Diarrhea
Urinary incontinence
Mioisis
Bradycardia
Bronchorrhea
Bronchospasm
Emesis
Lacrimation
Sweating, Salivation

14

Sed-Hypnotic toxidrome

CNS depression, lethargy

15

Serotonin Toxidrome

high temp, MS changes, autonomic instability, Neuromuscular abnormalites

16

Serotonin drugs

SSRI, prozac, antidepressants, selegiline, meperidine, dextromethorphan, dextroamphetamine, ecstasy, Triptans

17

Serotonin TX

Cyproheptadine, antipyretics, BZD

18

Flu-like symptoms that can lead to meningitis

anthrax

19

fever and leukocytosis, regional lymphadenitis, pneumonia, pharyngitis and cervical lymphadenitis

plague

20

acute onset fever, headache, myalgia, red spots followed by rash 1-4 days later, firm deep seated vesicles or pustules

small pox

21

diplopia, blurred vision, drooping eyelids, slurred speech, dry mouth, muscle weakness, symmetric descending paralysis

Botulism

22

cutaneous ulcer with regional lymphadenopaty

Ulceroglandular tularemia

23

regional lymphadenopathy with no ulcer

Glandular tularemia

24

conjunctivitis with preauricular lymphadenopathy

oculoglandular tularemia

25

stomatis or pharyngitis or tonsillitis and cervical lymphadenopathy

oropharyngeal tularemia

26

pleuropulmonary disease

pneumonic tularemia

27

flu like illness that progresses to NV

Viral hemorrhagic fever- Ebola, Marburg