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41 Cards in this Set
- Front
- Back
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acetaminophen
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n-acetylcysteine
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acid/alkali ingestion
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endoscopy to evaluate for stricture
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anticholinesterase
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atropine, pralidoxime
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organophosphate
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atropine, pralodoxime
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anti-muscarinic
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physostigmine
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anti-nicotinic
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physostigmine
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aresenic
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succimer, dimercaprol
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mercury
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succimer, dmercaprol
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gold
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succimer, dimercaprol
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beta blocker
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glucagon
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barbiturates
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urine alkalinization, dialysis, activated charcoal
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benzos
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flumazenil
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carbon monoxide
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100% O2, hyperbaric O2
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Copper
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penacillamine
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Arsenic
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penacillamine
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Gold
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penacillamine, succimer, dimercaprol
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lead
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penacillamine
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Cyanide
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amyl nitrate, Na-nitrate, Na-thiosulfate
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Digitalis
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na-hco3, stop dig, normalize k, lidocaine (for torsades), anti-digitalis Fab
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heparin
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protamine sulfate
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Iron salts
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deforxamine
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lead
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succimer, EDTA, dimercaprol
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Methanol
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EtOH, dialysis
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ethylene glycol
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EtOH, fomepizole, dialysis, Ca-gluconate
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Methemoglboin
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methylene blue
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opiods
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naloxone
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PCP
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NG suction
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salicylates
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urine alkalinzation, dialysis, activated charcoal
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tca
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Na-hco3 for qrs prolongation
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theophylline
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activated charcoal
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tpa
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aminocaproic acid
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streptokinase
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aminocaproic acid
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sx of anti-cholinergic toxicity
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dry as a bone, red as a beet, mad as a hatter, hotter than hell
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sx of cholinergic toxicity
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Salivation
Lacrimation Urinary incontinance Diarrrhea Gastric Emesis |
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common anticholinergic meds
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atropine
antihistamines |
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common cholinergic meds
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organophosphates
cholinesterase inhibitors (physostigmine', edrophonium, nicotine) |
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when is activated charcoal not useful
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in metallic od, lithium, pestacides, etoh
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when is activated charcoal contraindicated
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gi obx/perf, unprotected airway
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when is gastric lavage used
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if there is no known antedote and there is a life threatening ingestion
must be given within 1 h of ingestion to be effective |
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mechanism behind tylenol toxicity
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NAPQI is the toxic metabolite of tylenol
in OD, it can't be broken down into glutthione --> hepatotoxic |
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stages of tylenol toxicity
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0-24 h: asx, mild anorexia, n/v/malaise
24-48 h: liver enzymes up, ab pain, vomiting, oliguria 72-96 h: AST/ALT peak, Pt up, multisystem organ failure or recovery |
