Toxidromes & Poisonings

Question 1

age gp with most poisonings? 2nd age group?

Answer 1

1) 0-5 yrs old

2) 13-19 yr olds (d/t drugs)

Question 2

age gp with most poisonings? 2nd age group?

Answer 2

1) 0-5 yrs old

2) 13-19 yr olds (d/t drugs)

Question 3

serious effects/hospitalizations occur from ingesting which medicines?

Answer 3

• -hypoglycemics
• -B-blockers
• -opioids

Question 4

how does viscous lidocaine poison children?

Answer 4

causes cardiac suppression

Answer 5

1) personal care & cosmetics
2) household cleaning
3) analgesics

Question 6

6-12 yr old, top household poisonings?

Answer 6

1) foreign bodies, toys, misc
2) cosmetics, personal care
3) analgesics

Question 7

13-19 yr old, top household poisonings?

Answer 7

1) analgesics
2) antidepressants
3) cold & cough meds

Question 8

what is methemoglobinemia? what causes it?

Answer 8

brown colored blood

–caused by only 2 mL of Benzocaine (also: seizures)

Question 9

miosis

Answer 9

small pupils

Question 10

what drugs cause miosis?

Answer 10

COPS:
C: cholinergics, clonidine
O: opiates, organophosphates
P: phenothiazine, pilocarpine
S: sedatives (Barbiturates)

Question 11

mydriasis

Answer 11

large pupils

Question 12

what causes mydriasis?

Answer 12

AAAS:
A: antihistamine
A: antidepressant
A: anticholinergics
S: sympanothomimetics (amphetamine, cocaine, PCP)

Question 13

ABCD of poison management:

Answer 13

A: Airway
B: Breathing
C: Circulation
D: Decontamination
D: Drugs-- glucose, naloxone, oxygen
D: disability if near status rapidly deteriorating

Question 14

activated charcoal: PHAILS

Answer 14

P: pesticides
H: hydrocarbons
A: alcohols
I: iron
L: lithium
S: solvents
**and watch CNS status to prevent aspiration

Question 15

serious effects/hospitalizations occur from ingesting which medicines?

Answer 15

• -hypoglycemics
• -B-blockers
• -opioids

Question 16

how does viscous lidocaine poison children?

Answer 16

causes cardiac suppression

Answer 17

1) personal care & cosmetics
2) household cleaning
3) analgesics

Question 18

6-12 yr old, top household poisonings?

Answer 18

1) foreign bodies, toys, misc
2) cosmetics, personal care
3) analgesics

Question 19

13-19 yr old, top household poisonings?

Answer 19

1) analgesics
2) antidepressants
3) cold & cough meds

Question 20

what is methemoglobinemia? what causes it?

Answer 20

brown colored blood

–caused by only 2 mL of Benzocaine (also: seizures)

Question 21

miosis

Answer 21

small pupils

Question 22

what drugs cause miosis?

Answer 22

COPS:
C: cholinergics, clonidine
O: opiates, organophosphates
P: phenothiazine, pilocarpine
S: sedatives (Barbiturates)

Question 23

mydriasis

Answer 23

large pupils

Question 24

what causes mydriasis?

Answer 24

AAAS:
A: antihistamine
A: antidepressant
A: anticholinergics
S: sympanothomimetics (amphetamine, cocaine, PCP)

Question 25

ABCD of poison management:

Answer 25

``` A: Airway B: Breathing C: Circulation D: Decontamination D: Drugs-- glucose, naloxone, oxygen D: disability if near status rapidly deteriorating ```

Question 26

activated charcoal: PHAILS

Answer 26

``` P: pesticides H: hydrocarbons A: alcohols I: iron L: lithium S: solvents **and watch CNS status to prevent aspiration ```