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31 Cards in this Set

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pallor, anorexia, nausea & vomiting, malaise followed by right upper
quadrant abdominal pain, rising liver enzymes tachycardia, hypotension followed by
hepatic dysfunction with jaundice, recurrence of nausea & vomiting, renal failure, possible death
Toxicon: acetaminophen

Treatment: N-Acetylcyctine (Mucomyst), Charcoal*, supportive therapy
agitation & hyperactivity, euphoria, skin flushing, chest pain, palpitations, dry mouth,
hyperthermia, nausea & vomiting, mydriasis, weight loss
Toxicon: Amphetamines

Treatment: sedation and observation, glucose and electrolyte testing. Complications may require airway management, fluid resuscitation, cooling measures, benzodiazepine sedation to manage
hypertension, cool hyperthermic patients
weight loss
flushing, dry skin and mucous membranes, mydriasis, altered mental status,fever, tachycardia, urinary retention,
decreased bowel sounds.
Toxicon: Anticholanergics (atropine)

Antidote/Treatment: physostigmine (However, physostigmine is contraindicated in patients with cardiac conduction disturbances such as
prolonged PR and QRS intervals), charcoal*, (Ipecac syrup is contraindicated because of the potential for seizures)
Most anticholinergic agents have large volumes of distribution and are highly protein-bound; therefore,
hemodialysis and hemoperfusion are ineffective treatment methods, supportive care. Manage seizures with benzodiazepines, preferably diazepam or
lorazepam. Phenothiazines are contraindicated because of their anticholinergic properties.
garlic smell on the breath & tissue fluids, acute distress, dehydration (often), vomiting and severe diarrhea (watery & bloody) and hypovolemic
shock, whitish lines (Mees lines), peripheral neuorpathy & dermal hyperpigmentation/ depigmentation (salt/pepper)
skin, hepatic & renal damage, prolongation of the QT, cardiac arrhythmias & ventricular
Toxicon: Arsenic

Treatment: Dimercaprol (BAL in oil), Hemodynamic stabilization Activated charcoal does not absorb arsenic very well.
lethargy, coma, hypothermia, decreased pupillary light reflex, nystagmus, respiratory depression, tachycardia or bradycardia, hypotension
Toxicon: Barbiturates

Treatment: Check for hypothermia (& if present, warm the patient. Lavage, charcoal*, sodium bicarbonate, Hemodialysis, hemoperfusion (Induction of emesis with ipecac syrup is contraindicated in these patients because the
depressed neurologic response increases risk of aspiration)
drowsiness, nystagmus, confusion, slurred speech, ataxia, weakness, amnesia,
hypotension, respiratory depression
Toxicon: Benzodiazipines

Treatment: Flumazenil, charcoal*
(Ipecac syrup is
contraindicated for prehospital or hospital use because of the risk for CNS depression and subsequent
aspiration with emesis)
Malaise, flulike symptoms, fatigue, dyspnea on exertion, chest pain, confusion, lethargy,
dizziness, coma
Toxicon: CO

Treatment: 100% oxygen or hyperbaric oxygen.
Chest pain, MI, arrhythmias, cardiomyopathy, hypertension, paranoia, psychosis, the sensation of something crawling on the skin , seizures, hyperthermia, hypertension, tachycardia, mydriasis.
Toxicon: Cocaine

Treatment: benzodiazepines to manage seizures, sodium
bicarbonate, Nitroglycerin (for cocaine-related MI), hyperthermia treatment with ice packs or cooling blankets.
bitter almond odor on breath, bitter taste, burning throat, lock jaw, convulsions, coma,
respiratory failure.
Toxicon: Cyanide

Treatment:amyl nitrite, sodium nitrite (to induce the formation of methemoglobin)
GI disturbances (abdominal pains, diarrhea), cardiac arrhythmias & ECG changes,
nausea, vomiting, fatigue,
anorexia, dizziness, dreams,visual disturbances
Toxicon: Digoxin

Treatment:Digoxin Fab fragments (Digibind), check electrolyte levels, diuretics that are commonly taken in patients with CHF can cause hypokalemia which will
increase digitalis toxicity, treat hypokalemia
odor of hydrocarbons
Toxicon: Hydrocarbons

Treatment: Management for HC ingestion is supportive.
encephalopathy with seizures, GI complaints,
neurological dysfunction, Anemia, blue black deposit along gum
margin. Wrist and/or foot drop.
Toxicon: Lead

Treatment: ABCs, diazepam, EDTA or BAL plus EDTA. Aggressive hydration.
impaired judgment, mydriasis, tachycardia, mild hypertension & tachypnea, tremor, confusion
Toxicon: LSD

Treatment:supportive care & benzodiazepines (diazepam) to decrease agitation, haloperidol for acute
euphoria, relaxation, sense of slowing of the passage of time, munchies, Dysphoric
Toxicon: Marajuana

Treatment: supportive care
irritability, tremors, painful extremeties, pink discoloration of the hands & feet, desquamation of the hands & feet, Gingivitis
Toxicon: Hg

Treatment: charcoal*, BAL
lethargy, confusion, misty, or snowstorm-like visual disturbances, blindness, coma, seizures,
Toxicon: MeOH

Treatment: Dialysis, bicarbonate, folic acid (leucovorin), ethanol infusion
lethargy, coma, hypothermia, decreased pupillary light reflex, nystagmus, respiratory depression, tachycardia or bradycardia, hypotension, ATAXIA, hypertonicity, seizures
Toxicon: Methaqualone

Treatment:Diazepam, phenytoin (as as anticonvulsant because barbiturates potentiate the effect of methaqualone).
CNS depression, respiratory depression, miosis, Hypotension & hypothermia, respiratory depression
Toxicon: Opiates (not meperidine)

Treatment:naloxone, charcoal*,
miosis, bronchospasm, weakness, excessive secretions, nausea, vomiting, diarrhea, confusion
Toxicon: Organposphates

Treatment: Praldoxime (2-Pam), atropine, benzodiazepines to control seizures
superficial necrosis developing days after initial contact, contact dermatitis, Keratoconjunctivitis
Toxicon: Oxalate plant poisoning

Treatment: copious water irrigation, Acetaminophen
Horizontal, vertical, or rotary nystagmus, amnesia, analgesia, combativeness & paranoid behavior,
catatonic posturing, hyperreflexia, muscle rigidity, dystonia, hallucinations, Miosis
Toxicon: Pencyclidine

Treatment: benzodiazepines, Physical and chemical restraints, charcoal*
drowsiness, agitation, convulsions, muscle spasms, tremor & rigidity, inability to sit still, miosis,
orthostatic hypotension and hypothermia (poikliothermia),
Source: antipsychotic medication

Treatement: Charcoal*, Lavage
gingival hyperplasia, hirsutism, rashes, acne, nystagmus
Toxicon: Phenytoin

Treatment:charcoal*,(Hemodialysis or hemoperfusion are ineffective)
metabolic acidosis, hyperventilation, acidic urine, Ototoxicity, tinnitus, tachycardia, CNS depression,
seizures, nausea & vomiting, GI hemorrhage, prolonged bleeding
Toxicon: Salicylates

Treatement: lavage, charcoal*, bicarb, Hemodialysis, monitor glucose levels closely.
sinus tachycardia, tremors, seizures, hypotension, and significant
dysrhythmias, metabolic acidosis, hypokalemia, hypophosphatemia,
hypomagnesemia, hyperglycemia
Toxicon: Theophylline

Treatment: bowel irrigation, Propranolol (for tachycardia), Phenobarbital, hemodialysis
tachycardia, hypotension, confusion or hallucinations, mydriasis, dry mucous membranes
and skin, decreased bowel sounds, urinary retention, seizures, QRS prolongation & arrhythmias
Toxicon: TCAs

Treatment: Charcoal*, Bicarb, Benzos
lead (Pb) or cadmium (Cd) in tox-screen
Treatment: EDTA in combo with BAL
Copper or methyl murcury in tox-screen
Treatment: Penicillamine or NAP
Lead in tox-screen and have a pre-existing electrolyte imbalance
Treatment: Succimer
Acute arsenic, mercury, and gold poisoning
Treatment: Dimercaprol (BAL in oil)
acute iron intoxication or chronic iron overload from transfusinon-dependent anemias
Treatment: Deferoxamine