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22 Cards in this Set
- Front
- Back
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first line treatment for anaphylaxis with intact airway
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subcutaneous epinephrine
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what should you do with a positive fingerstick lead level?
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recheck with serum lead level since the fingersticks have a high false positive rate
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acute iron intoxication stages...
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1. GI upset/disturbance
2. shock, metabolic acidosis 3. hepatic failure 4. bowel obstruction from GI scarring |
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what symptoms do opoid overdoses have that benzos do not?
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respiratory depression and pupillary constriction
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treatment for Torsades rhythm
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discontinue offending agent and give MgSO4
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when should you do the first acetominophen level with an overdose?
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4 hours after ingestion
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when must N-acetylcysteine be given with an acetominophen overdose?
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within 8 hours of ingestion
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what is lye?
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cleaning solution made of sodium hydroxide
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what test is indicated for ingestion of strong alkaline solution and why?
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upper GI imaging and endoscopy looking for perforation due to the near-instanteous liquifactive necrosis of the esophagus
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treatment for diphenhydramine and why
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treat with physostigmine to reverse the anti-cholinergic effects
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treatment for organophosphate intoxication
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remove clothes and wash skin to prevent further absorption, then give atropine
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symptoms of opoid withdrawal
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N/V, abdominal pain, diarrhea, restlessness, arthralgias, myalgias
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symptoms of beta-blocker overdose
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AV block, bradycardia, hypotension, wheezing, cardiogenic shock
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treatment for beta-blocker overdose
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give atropine and fluids first, then glucagon if refractory
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how does ethylene glycol affect calcium levels and the kidneys?
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associated with hypocalcemia and calcium oxalate deposits in the kidneys
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treatment for ethylene glycol intoxication
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treat with fomepizole or ethanol
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typical EKG finding with TCA toxicity
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widened QRS
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treatment for widened QRS and why
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give sodium bicarbonate to increase extracellular sodium
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treatment for PCP intoxication
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treat with urine acidification to increase clearance and haloperidol for psychotic symptoms
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how will iron pills appear on x-ray?
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radio-opaque
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first treatment for chemical splash to eye
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wash eye for 15 minutes first
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what class of drug is fluphenazine? what dangerous side-effect can it have?
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high-potency typical antipsychotic; can cause hypothermia due to disruption of thermoregulation and inhibition of shivering mechanism
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