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31 Cards in this Set
- Front
- Back
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teen, altered MS, pinpoint reactive pupils, shallow resp
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opiod
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Toddler, sleepy, resp distress, garage, sweating, wheezing
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organophosphate. inhaled, ingested, skin,
DUMBELS: diarrhea, urination, miosis, bronchospasm, emesis, lacrimation, salivation. |
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toddler, nausea, vomiting, gagging, tachypnea
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hydrocarbon ingestion (gasoline, lighter fluid). aspiration is biggest problem
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toddler, drooling, dysphagia, stridor
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alkali, corrosive esophagitis.
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toddler, nausea, vomiting, tachycardia, mild HTN, met acidosis, hypoCa
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early ethylene glycol ingestion
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coma, cardiopulm failure from acidosis, hypocalcemia.
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2nd stage of ethylene glycol poisoning
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renal failure, actue tubular necrosis after nausea vomiting, acidosis
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late ethylene glycol poisoning, this 3rd stage is 24-72hrs post. suspect in alcohol appearing poisoning without odor of alcohol. l
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large anion gap met aciddois, elevated osmolar gap, oxalate crystals on UA
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ethylene glycol
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treatment of organophosphate poisoning
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atropine, IV. charcoal for ingestion.
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foreign body in esophagus rx
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if not corrosive give 24hrs to ass to stomach, remove if persists
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Fe poisonig, Rx
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deferoxamine
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hematemesis, diarrhea, abdominal pain.
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Fe poisoning
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phases of Fe poisoning
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hematemesis, abd pain, diarrhea for first 6hrs. second honeymoon phase 6-24hrs feeling better. third phase systemic toxicity multisystem damage. hepatotoxicity, met acidosis, coagulopahty.
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long car ride, fatigue, headache, dizzy, weak
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CO poisonign, give 100% O2.
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levels of alcohol ingestion
0.1, 0.2, 0.3, 0.4 |
mild: disinihibition, euphoria
mod: increased sedation, impaired judgement severe: confusion, stupor coma: >0.4 |
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lab signs of EtOH intox
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hypoglycemia, acidosis, electorlyte imbalances
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phenobarb antidote
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charcoal
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acute ibuprofen toxicity
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nausea vomiting, occur within 4hrs, short duration.
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treatment of hydrocarbon ingestion
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none, monitor pulse ox.
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TCA poisoning
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MS change, anticholinergic signs: tachy, mydriasis, dry mouth, urinary retention, constipation. sudden death can occur up to 24hrs after due to cardiac arrhythmia.
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when to use charcoal
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any injestion >2hrs old. not for heavy metals, Fe, Li, hydrocarbons, methanol, ethylene glycol.
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treatment of caustic ingestion, acid or base
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NPO, IVF, CXR (for signs of aspiration), EGD.
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dry, thristy, flushed, mydraisais, hot, urinary retention
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anticholinergic (TCA, antihistamines, belladonna)
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fever, tachy, tachypnea, seizures, acidosis
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salicylates
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excitation, psychosis, seizures, HTN
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sympapthomimetics: amphetamines, PCP, cocaine
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Benzo antidote
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flumazenil
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Ca channel bloccer, beta blocker, hypoglycemic agents, antidote
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glucagon
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anticholinergic agents antidote
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physostigmine
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INH antidote
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pyridxine (B6)
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timing of max liver function abnormalities from tylenol OD
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72-96hrs
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hyperventilation, hyperpnea, resp alkalosis, hypoK, acidosis
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early ASA toxicity
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