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31 Cards in this Set

  • Front
  • Back
teen, altered MS, pinpoint reactive pupils, shallow resp
opiod
Toddler, sleepy, resp distress, garage, sweating, wheezing
organophosphate. inhaled, ingested, skin,
DUMBELS: diarrhea, urination, miosis, bronchospasm, emesis, lacrimation, salivation.
toddler, nausea, vomiting, gagging, tachypnea
hydrocarbon ingestion (gasoline, lighter fluid). aspiration is biggest problem
toddler, drooling, dysphagia, stridor
alkali, corrosive esophagitis.
toddler, nausea, vomiting, tachycardia, mild HTN, met acidosis, hypoCa
early ethylene glycol ingestion
coma, cardiopulm failure from acidosis, hypocalcemia.
2nd stage of ethylene glycol poisoning
renal failure, actue tubular necrosis after nausea vomiting, acidosis
late ethylene glycol poisoning, this 3rd stage is 24-72hrs post. suspect in alcohol appearing poisoning without odor of alcohol. l
large anion gap met aciddois, elevated osmolar gap, oxalate crystals on UA
ethylene glycol
treatment of organophosphate poisoning
atropine, IV. charcoal for ingestion.
foreign body in esophagus rx
if not corrosive give 24hrs to ass to stomach, remove if persists
Fe poisonig, Rx
deferoxamine
hematemesis, diarrhea, abdominal pain.
Fe poisoning
phases of Fe poisoning
hematemesis, abd pain, diarrhea for first 6hrs. second honeymoon phase 6-24hrs feeling better. third phase systemic toxicity multisystem damage. hepatotoxicity, met acidosis, coagulopahty.
long car ride, fatigue, headache, dizzy, weak
CO poisonign, give 100% O2.
levels of alcohol ingestion
0.1, 0.2, 0.3, 0.4
mild: disinihibition, euphoria
mod: increased sedation, impaired judgement
severe: confusion, stupor
coma: >0.4
lab signs of EtOH intox
hypoglycemia, acidosis, electorlyte imbalances
phenobarb antidote
charcoal
acute ibuprofen toxicity
nausea vomiting, occur within 4hrs, short duration.
treatment of hydrocarbon ingestion
none, monitor pulse ox.
TCA poisoning
MS change, anticholinergic signs: tachy, mydriasis, dry mouth, urinary retention, constipation. sudden death can occur up to 24hrs after due to cardiac arrhythmia.
when to use charcoal
any injestion >2hrs old. not for heavy metals, Fe, Li, hydrocarbons, methanol, ethylene glycol.
treatment of caustic ingestion, acid or base
NPO, IVF, CXR (for signs of aspiration), EGD.
dry, thristy, flushed, mydraisais, hot, urinary retention
anticholinergic (TCA, antihistamines, belladonna)
fever, tachy, tachypnea, seizures, acidosis
salicylates
excitation, psychosis, seizures, HTN
sympapthomimetics: amphetamines, PCP, cocaine
Benzo antidote
flumazenil
Ca channel bloccer, beta blocker, hypoglycemic agents, antidote
glucagon
anticholinergic agents antidote
physostigmine
INH antidote
pyridxine (B6)
timing of max liver function abnormalities from tylenol OD
72-96hrs
hyperventilation, hyperpnea, resp alkalosis, hypoK, acidosis
early ASA toxicity