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15 Cards in this Set
- Front
- Back
Initial workup for poisoning eval
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D-stick, pulse-ox, EKG, Chem 10, venous blood gas. Tox screens.
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Induction of emesis medication
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Ipecac
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Activated charcoal is ineffective with:
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EtoH, hydrocarbons, iron, lithium
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antidote: acetaminophen
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n-acetylcysteine
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antidote: anticholinergics
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physostigmine if atropine or antihistamines
NAHCO3 or MgSO4 if tricyclic antidepressants |
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antidote: cholinergics (pesticides)
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pralidoxime chloride (or atropine)
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antidote: ASA
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gastric emptying, charcoal, tx of sxs, dialysis
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treat hydrocarbon intox
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avoid aspiration! no other tx
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Iron antidote
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deferoxamine chelation
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antidote: opiates
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naloxone
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antidote: BZD's
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flumazenil
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sxs of lead poisoning
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develop dlay, behavioral, ADD, acute encephalopathy (ICP, vomit, ataxia, confusion, seizures, coma)
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tx lead poisoning
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dimercaprol, EDTA
DMSA (succimer) if low levels in asxs kids |
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Sites of drowning
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<1yo - bathtubs
Toddlers - Buckets, pools Adolescent - natural water |
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Foreign body aspiration most common in 6-36 mo old
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#1 aspiration is nuts
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