• Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

A key: Read text to speech.a key

image

Play button

image

Play button

image

Progress

1/10

Click to flip

10 Cards in this Set

  • Front
  • Back
Management
Management. The initial evaluation of a patient who has been poisoned involves attempting to
find out the nature of the toxin ingested. At the same time, history and physical examination
can give clues to the nature of the toxin. In this patient, the key issue is the short time between
the ingestion and his arrival in the emergency department. He is awake and alert, and there is a
short time interval since the ingestion.
Toxidromes
Toxidromes
Associated Physical Findings in Specific Toxidromes
• Miosis: clonidine, barbiturates, opiates, cholinergics, pontine stroke
• Mydriasis: sympathomimetics, anticholinergics
• Dry skin: anticholinergics
• Wet skin: cholinergics, sympathomimetics
• Blisters: barbiturates, carbon monoxide poisoning
shall we do gastric emtyiong
ipecauana- when and fo who
Gastric emptying is rarely, if ever, utilized. In ingestions of an unknown type, a urine or blood
toxicology screen should be performed, but this should not delay the administration of antidotes,
charcoal, or gastric emptying in the rare circumstances in which emptying is indicated.
Induced vomiting. Ipecac only can be used within 1-2 hours after ingestion; therefore,
ipecac has extremely limited usein the hospital. This is because very few people arrive
within the first hour. In addition, ipecac can delay the use of oral antidotes such as charcoal
or N-acetyl cysteine because of the vomiting it induces. Ipecac is more useful for
ingestions in the home, in which the time period since ingestion is short and there are
lavage?
charcoal
bowel irigation
dialysys?
cathartics
forced diuresis
naloxon dextrose thiamin