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34 Cards in this Set

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Bradycardia, hypotension,
Calcium channel blockers

or Beta blockers (which would also have hypoglycemia, pulmonary edema)

Antidote?
Glucagon, Calcium, Insulin, Dextrose (which is the same, whether it's beta blockers or calcium channel blockers)
Nausea, hepatic insufficiency
acetaminophen

antidote?
N-acetylcysteine
dry mouth, urinary retention, QRS widening on ECK
Anticholinergics

Also could be Tricyclic antidepressants, which would also have tachycardia!
Treat anticholinergics with physostigmine,

Treat TCAs with sodium bicarb or diazepam.
Sedation, respiratory depression
Benzodiazepines

Could also be Opioids but they would have the classic pinpoint pupils
Benzos - Flumazenil


(opioids with Naloxone)
Antidote of cyanide toxicity? (HA, nausea, vomiting)
nitrates, hydroxocobalmin
Nausea, vomiting, Visual changes, arrhythmias
Digoxin toxicity
Excessive bleeding, easy bruising
Heparin or Warfarin

antidote?
protamine sulfate for Heparin

Vitamin K or FFP for Warfarin
Treatment for Isoniazid OD?
B6
Visual changes, dizzines, headache
methanol poisoning

antidote?
ethanol, fomiprazole
Ataxia, hallucinations, seizures, oxalate crystals in urine
ethylene glycol

antidote?
fomiprazole
Pinpoint pupils, respiratory depression
Opioids

antidote
Naloxone
Hyperventillation, metabolic acidosis, nasuea, vomiting, tinnitus
salicylates, aspirin

antidote?
Charcoal, dialysis, sodium bicarb
tachcardia, dry mouth, urinary retention, QRS widening on EKG
TCAs
sodium bicarb, diazepam
Salivations, lacrimation, miosis, vomiting, diarrhea, increased urination
Organophosphates (insecticide)

antidote?
Atropine, Pralidoxime
Intention tremor, renal insufficiency, mental status changes
mercury poisoning (sushi or minors)

tx?
Dimercaprol
Nausea, Constipation, hepatotoxic
Iron toxicity

tx?
deferoxamine
Wrist drop, foot drop, anemia
Lead poisoning

tx?
EDTA, dimercaprol
Tx of black widow bite?
Calcium gluconate, methocarbamol
Tx of copper, arsenic or gold poisoning?
Penicillamine
swollen gums, bruising, poor wound healing, anemia
(Scurvy) --> Vit C Def,

affects collagen synthesis
Diarrhea, dementia, dermatitis
B3 Niacin deficiency (Pellagra)

You can get this from carcinoid tumors (B3 is used to make tryptophan)
Angular stomatitis, cheilosis, dermatitis, corneal vacularization
RIboflavin B2 Def
polyneuritis, dilated cardiomyopathy
Berberbi (B1 Thiamine def)
squamous cell proliferation and keratinization of conjunctiva - night blindness, dry skin - follicular hyperkeratosis
(Bitot's spots are the debris on the eye) --> Vit A deficiency
Dermatitis + Enteritis
Biotin Deficiency - can occur via ingestion of raw eggs
Megaloblastic anemia without neuro sx
Folic Acid def
megaloblastic anemia with neuro symptoms, +/- glossitis
B12 (cobalamin) deficiency
Pseudotumor cerebri, bone thickening
Vit A Toxicity
Decreased taste (hypogeusia), slow wound healing, alopecia, bullous pustular lesions
Zinc def

seen in patients on TPN, because many preps don't contain it.
Also, crohn's patients - it is absorbed in jejunum
Kinky hair, mental retardation
Copper deficiency (Menke's disease)
Treatment for cyanide toxicity? (almond scented breath, ha, n, v, AMS)
Sodium Thiosulfate,
Hydroxycobalamine (B12 precursor)
OR
Amyl nitrite (can cause methehemoglobinuria), sodium thiosulfate
CP of Digoxin toxicity?
Change in COLOR vision, nausea, vomiting, diarrhea
hypERKalemia
EKG: prolonged QT interval, "scooping" of ST segments, BRADYcardia,
Antidote for heparin?
Protamine Sulfate
What is the most feared SE of bootleg whiskey?
(methanol) BLINDness!
Fomepizole, ethanol, dialysis