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15 Cards in this Set
- Front
- Back
- 3rd side (hint)
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TOXIDROMES:
ANTI-CHOLINERGIC |
[DUD SHAFT]
DILATION of pupil = MYDRIASIS + CYCLOPLEGIA - acute angle-closure glaucoma in elderly (blind as a bat) Urinary retention DRY mouth (dry as a bone) ↓ SEIZURES HYPERTHERMIA (hot as a hare) esp in INFANTS AGITATION, confusion, delirium (mad as a hatter) FLUSHED skin (red as a beet) TACHYCARDIA + normal BP |
Examples:
Antihistamines Antipsychotics Atropine Belladonna Carbamazepine IPRATROPIUM Phenothiazines Quinidine TCAs |
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TOXIDROMES:
CHOLINERGIC |
[CLUBS BLED]
CONSTRICTION of pupil = MIOSIS LACRIMATION URINATION BRADYCARDIA SWEATING + SALIVATION BRONCHORRHEA + bronchospasm Limp EMESIS DIARRHEA |
Examples:
Organophosphates: pesticides, nerve gas Carbamates: pesticides |
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TOXIDROMES:
NARCOTICS |
[HOP CBR]
HOTN o PIN-POINT-PUPILS (MIOSIS) CNS depression BRADYCARDIA RESPIRATORY DEPR |
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TOXIDROMES:
EXTRAPYRAMIDAL |
[ADAPTOR]
AKATHESIA DYSTONIA AKINESIA/BRADYKINESIA Postural Instability TREMOR: pin-rolling, worst @ rest OCULOGYRIC CRISIS -- dystonia, eyes fixed up + sideways RIGIDITY: lead-pipe/cog wheel |
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TOXIDROMES:
SYMPATHOMIMETICS |
[STASHED]
SWEATING = DIAPHORESIS - vs antichol toxidrome TACHYCARDIA + HTN (vs antichol) AGITATION SEIZURES HOT = HYPERTHERMIA EXCITATION CNS DILATED pupil = MYDRIASIS |
Examples:
Amphetamines Cocaine MDMA (ecstasy) MAOIs |
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TOXIDROMES:
SEROTONERGIC |
[STASHED CAN]
SWEATING = DIAPHORESIS - vs. antichol toxidrome TACHYCARDIA + HTN (vs antichol) AGITATION SEIZURES HOT = HYPERTHERMIA EXCITATION CNS DILATED pupil = MYDRIASIS CNS dysfn (agitation) AUTONOMIC dysfn (hyperthermia) NEUROMUSC dysfn (Clonus, Hyper-reflexia / -tonia) |
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TOXIDROMES:
MYDRIASIS |
[AAAAS]
Anti-cholinergics Anti-depressants Anti-histamines Atropine (= anticholinergic) Sympathomimetics |
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TOXIDROMES:
TACHYCARDIA |
[FAST]
Free base = Cocaine Anticholinergics / Antihistamines Sympathomimetics Theophylline |
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TOXIDROMES:
HOTN |
[CRASH]
Clonidine Reserpine (anti-HTN) Antidepressants Sedative-Hypnotics Heroin |
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TOXIDROMES:
COMA COCKTAIL |
[DON'T]
DEXTROSE - after thiamine OXYGEN NARCAN THIAMINE = vit B1 - prevent Wernicke's |
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TOXIDROME
HEROIN |
NARCOTIC
[HOP CBR] HOTN PIN-POINT PUPILS (MIOSIS) CNS DEPRESSION BRADYCARDIA RESPIRATORY DEPRESSION |
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TOXIDROME
CHLORPROMAZINE |
ANTICHOLINERGIC [DUD SHAFT]
+ EXTRAPYRAMIDAL [ADAPTOR] |
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TOXIDROME
GHB |
GAMMA-HYDROXYBUTYRATE
SYMPATHOMIMETIC [STASHED] → NARCOTIC [HOP CBR] RESP DEPR w/APNEA + INTERRUPTED periods of AGITATION + COMBATIVENESS |
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TOXIDROME
ECSTASY |
MDMA
SYMPATHOMIMETIC [STASHED] + SEROTONERGIC [STASHED + CAN] CNS DYSFN (aggitation, confusion) AUTONOMIC DYSFN (hypertherm) NEUROMUSCULAR DYSFN (hyper-reflexia/tonia, clonus) |
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TOXIDROMES:
OLANZAPINE |
ANTICHOLINERGIC [DUD SHAFT]
+ EXTRAPYRAMIDAL [ADAPTOR] |
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