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Flashcards in Toxins Deck (54):
1

Acteminophen signs

Nausea
Hepatic insufficiency

2

Acetaminophen Treatment

N-acetylcysteine

3

Acid/alkali ingestion treatment

Copious irrigation
Activated charcoal
Upper endoscopy to evaluate for stricture

4

Antimuscarinic/anticolinergic signs

Dry mouth, urinary retention, QRS widening on EKG

5

Antimuscarinic/anticholinergic treatment

Physostigmine (anti-cholinesterase inhibitor)

6

Acid/alkali ingestion signs

severe oropharyngeal & gastric irritation or burns, drooling, odynopagia, abd pain, gastric perforation sx

7

Mercury signs

renal insufficiency
tremor
mental status changes

8

Arsenic, mercury, gold treatment

Succimer
Dimercaprol

9

Beta blocker signs

Bradycardia
HOTN
Hypoglycemia
Pulmonary edema

10

Beta Blocker treatment

Glucagon
Fluids
Atropine
Calcium
Insulin
Detrose

11

Barbiturates (phenobarbital) Treatment

Urine alkalinization
Dialysis
Activated charcoal
Supportive care

12

Benzodiazepine signs

Sedation
Resp depression

13

Benzo tx

Flumazenil

14

Black widow bite

Calcium gluconate
Methocarbamol
Antivenom

15

Carbon monoxide signs

cherry red skin
hypoxemia
confusion
headache

16

Carbon monoxide tx

100% O2
Hyperbaric O2

17

Copper tx

Penicillamine

18

Cyanide signs

headache
N/V
AMS

19

Cyanide tx

Hydroxycobalamin
Amyl nitrate
Sodium nitrate
Sodium thiosulfate

20

Cocaine signs

tachycardia
agitation
mydriasis
HTN
MI
Hemorrhagic stroke

21

Cocaine tx

supportive care
benzos
alpha blockers

22

Calcium channel blocker signs

bradycardia
HOTN

23

Calcium channel blocker tx

Glucagon
Calcium
Insulin
Dextrose

24

Digoxin signs

N/V
visual changes
Arrhythmia

25

Digoxin tx

Anti-digitals Fab (Digoxin Ab's)
Normalize K+ but avoid giving Ca2+, M2+ or lidocaine for torsades

26

Heparin signs

excessive bleeding
easy brusing

27

Heparin tx

Protamine sulfate

28

Isoniazid (INH) signs

Neuropathy
Hepatotoxicity

29

Isoniazid (INH) tx

Pyridoxine (vit B6)

30

Isopropyl alcohol signs

decreased consciousness
nausea
abd pain

31

Isopropyl alcohol tx

supportive care

32

Iron signs

Nausea
Constipation
Hepatotoxicity
Hematemsis
HOTN
Anion-gap meta acidosis
Radio-opaque on xray

33

Iron tx

Deferoxamine

34

Lead signs

peripheral neuropathy
anemia

35

Lead tx

Succimer
CaEDTA
Dimercaprol

36

Methanol signs

HA
visual changes
dizziness

37

Methanol tx

Ethanol
Fomepizole
dialysis

38

Ethylene glycol (antifreeze) signs

Ataxia
hallucination
Seizures
sweet breath

39

Ethylene glycol (antifreeze) tx

Ethanol
diaylsis
Calcium gluconate

40

Methemoglobin tx

methylene blue

41

Opioid signs

Pinpoint pupils
resp depression

42

Opioid tx

Naloxone
Naltrexone

43

Salicylate signs

N/V
Tinnitus
hyperventilation
anion gap meta acidosis

44

Salicylate tx

Urine alkalization
Dialysis
Activated charcoal
Sodium bicarb

45

Tricylic antidepressant signs

tachycardia
dry mouth
urinary retention
ORS widening on EKG

46

TCA tx

Sodium bicarb for QRS prolongation
Diazepam or lorazepam for seizures
Cardiac monitoring

47

Sulfonylurea signs

hypoglycemia

48

Sulfonylurea tx

Octreotide
Dextrose

49

Theophylline tx

Activated charcoal

50

tPA, streptokinase tx

aminocaproic acid

51

Warfarin signs

excessive bleeding
easy brusigin

52

Warfarin tx

Vitamin K
FFP

53

Organophosphate signs

Diarrhea
Urination
Miosis
Bronchospasm
Bradycardia
Emesis
Excitation of skeletal muscle
Lacrimation
Sweating
Salivation
Abd cramping

54

Organophosphate tx

Atropine
Pralidoxime (reactivates cholinesterase)
Supportive care