Toxicology Of Gi Tract Dr. Fischer

Front 1

What is a laxative?

Back 1

Forms a soft formed stool

Front 2

What is a cathartic?

Back 2

Promotes rapid watery diarrhea

Front 3

What is a purgative?

Back 3

Implies an even stronger evacuation than a carthartic

Front 4

When do you not want to give someone catharitics?

Back 4

Under 1
Electrolytes are off
Diarrhea
Absent bowel sounds
Bowel perforation
Renal failure

Front 5

What are the big 3 cathartics?

Back 5

Mg Sulfate
Mg Citrate
Sorbitol

Front 6

Do purines help you poop?

Back 6

Yes, they have lots of fiber and they have sorbitol in them (cathartic)

Front 7

Multiple doses of cathartics can cause toxicity in?

Back 7

children

Front 8

Syrup of Ipecac is a root distilled down to a syrup can causes?

Back 8

uncontrollable Emesis with in 20minutes

Front 9

What is the indication of giving syrup of Ipecac?

Back 9

When somebody has injested a large amount of a toxin and charcoal will not absorb it

Front 10

Ppl using Ipecac can predispose themselves too?

Back 10

cardiac myopathies

Front 11

What does it mean to activate charcoal?

Back 11

means to expose it to an oxidizing agent that puts holes in the charcoal which gives it a huge absorptive ability

Front 12

What can you not use activated charcoal to absorb?

Back 12

Lithium

Front 13

Do not give activated charcoal with?

Back 13

Ipucac-bc the person will throw it up

Front 14

When would you give multiple doses of activated charcoal?

Back 14

When someone ingested a Enteric coated or sustained released pills
-give every 2-6 hours

Front 15

Blue Bottle of activated charcoal is with or with out sorbitol?

Back 15

With out

Front 16

When do you use the blue bottle of activated charcoal?

Back 16

If you need to give it multiple times

Front 17

When should one consider dialysis?

Back 17

Isopropyl alcohol, Salicylates, Theophylline,Uremia Methanol, Barbiturates, Lithium, Ethylene glycol
ISTUMBLE

Front 18

When should one consider whole bowel irrigation?

Back 18

SLIM
Stuffers, sustained release
Lithium
Iron
Metals (heavy)

Front 19

Caustics?

Back 19

Caustics: The most serious source of direct toxicity to the upper GI tract (lips to small intestines)

Front 20

What is a caustic?

Back 20

A corrosive substance is one that will destroy or irreversibly damage another substance with which it comes in contact. The main hazards to people include damage to eyes, skin and tissue under the skin, but inhalation or ingestion of a corrosive substance can damage the respiratory and gastrointestinal tracts.

Front 21

Alkaline typically effect the?

Back 21

Mouth and esophagus

Front 22

Strong Acids work via?

Back 22

Coagulation necrosis

Front 23

Alkaline work via?

Back 23

Liquefactive necrosis

Front 24

Strong Acids injure the?

Back 24

Stomach, Spleen, biliary tract, pancreas

Front 25

What is coagulative necrosis?

Back 25

Coagulative necrosis is typically seen in hypoxic environments (e.g. myocardial infarction, infarct of the spleen). Cell outlines remain after cell death and can be observed by light microscopy.

Front 26

What is liquefactive?

Back 26

Liquefactive necrosis is usually associated with cellular destruction and pus formation (e.g. pneumonia). This is typical of bacterial or, sometimes, fungal infections because of their ability to stimulate an inflammatory reaction.

Front 27

Spontaneous arterial bleeding can occur during the first three weeks

Back 27

Electrical burn of the lip

Front 28

What presents with an eschar?

Back 28

Electrical burn of the lip

Front 29

What is an Eschar?

Back 29

eschar (IPA: /ˈɛskɑr/) is a piece of dead tissue that is cast off from the surface of the skin,Eschar is sometimes called a "black wound" because the wound is covered with thick, dry, black necrotic tissue.

Front 30

What medication has the severe adverse effect of swelling of the tongue?

Back 30

Ace Inhibitors-You need to let the ACE work out of the patients system and the tongue will decrease in size

Front 31

Which way will a coin lodge in the esophagus?

Back 31

With the coronal plane

Front 32

Which way will a coin lodge in the trachea?

Back 32

In the sagital plane

Front 33

What can cause Acute pancreatitis?

Back 33

GET SMASHeD
Gallstones
Ethanol
Trauma
Steroids
Mumps
Autoimmune
Scorpion Stings
Hypercalcemia/Hyperlipidemia
Drugs (sulfa)

Front 34

What can cause black stool?

Back 34

GI bleed
Bismuth
Iron ingestion
Senna

Front 35

GI symptoms begins following exposure of __Sv where there is GI mucosal cell injury and death

Back 35

5

Front 36

Tissues with _____ rates of cellular division are more radiosensitive

Back 36

Greater

Front 37

is a physician at risk of taking care of somebody that has been exposed to radioactive material?

Back 37

NO as long as they have been decontaminated