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23 Cards in this Set
- Front
- Back
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antidote for benzodiazepine OD |
flumazenil |
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opiod addiction medicines |
methadone buprenorphine |
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antidote for beta blocker OD |
glucagon |
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confusion drowsy dry mouth dilated pupils blurred vision decreased bowels urinary retention |
diphenhydramine overdose |
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diphenhydramine OD- what happens tx |
anti-cholinergic anti-histamine physostigmine: cholinesterase inhibitor |
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cholinergic vs anti cholinergic |
wet vs dry |
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tinnitus n/v fever AMS dx and tx |
salicylate intoxication alkalinization of urine with Na bicarb |
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tachycardia diaphoresis dilated pupils htn hyperthermia |
serotonin syndrome: MAOI with others |
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agitation tachycardia pupillary dilation psychotic/dissociative behavior vertical nystagmus |
phencyclidine intoxication |
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seizures hyperthermia cardiac arrhythmias hypotension |
theophylline |
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pt on typical antipsychotics gets neuroleptic malignant syndrome. what is tx |
dantrolene (muscle relaxant) bromocriptine (DA agonist) amantadine (antiviral with dopaminergic properites) |
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steps managing pt with acetaminophen OD |
if within 4 hours, give activated charcoal if longer or chronic, check serum levels refer to normogram and give n-acetylcysteine if liver injury risk |
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how to manage ethylene glycol ingestion |
fomepizole or ethanol in order to inhibit alcohol dehydorgenase |
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cyanide poisoing antidote |
sodium thiosulfate hydroxocobalamin or desperate: cause methemoglobinemia with nitrites to make Fe3+ and bind up the CN |
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methemoglobinemia from heavy metals antidote |
methylene blue |
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how to manage pt withdrawal from alcohol |
benzodiazepines: chlordiazepoxide clonidine antiemetics: promethazine, diphenhydramine loperamide, octreotide (diarrhea/cramps) |
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TCA OD tx |
Na bicarb to narrow QRS complex and prevent ventricular arrhythmia: does so because TCA inhibits fast Na channels in His-Purkinje system, so repolarization takes longer. Increaseing Na and pH means Na channels work better and narrows QRS this EKG is important |
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CNS depression hypotension hyperthermia anticholinergic: dilated pupils, dry flushed skin, intestinal ileus widened QRS |
TCA overdose |
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organophosphate poisoning antidote |
atropine pralidoxime have to fix anticholinesterase toxicity |
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bradycardia miosis salivation |
cholinergic toxicity can be from anticholinesterase toxicity tx with anticholinergics like atropine or pralidoxime |
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how to ddx ethylene glycol and methanol poisoning |
eye sx like hyperemia of disk is mehtanol kidney failure/crystals is ethylene glycol |
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how does CN poison |
inhibits cytochrome oxidase a3 in the ETC |
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pt caught in cold and gets hypothermia. what medication makes more prone to hypothermia |
fluphenazine = typical antipsychotic don't have shivering and/or inhibiting of autonomic thermoregulation |
