22.8.2013(washington Manual) Flashcards

0
Q

Five general toxidromes

A
Sympathomimetic
Cholinergic
Anticholinergic
Opiate
Sedative hypnotic
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
1
Q

Physical examination in poisoning

A
Vitals
Pupils
Skin
Bowel
Bladder
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Features of sympathomimetic toxidrome

A
Hypertension
Tachycardia
Mydriasis
Hyperpyrexia
Diaphoresis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Causes of sympathomimetic toxidrome

A

Amphetamines
Cocaine
Vasopressors
Beta agonists

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Features of cholinergic toxidrome

A
Bradycardia
Low oxygen saturation
Respiratory depression
Pinpoint pupils 
SLUDGE
 salivation
 Lacrimation
 Urination
 Defecation
 GI distress
 Emesis
Seizures 
Coma
Fasciculation
Paralysis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Anticholinergic toxidrome

A
Tachycardia
Dry skin
Hyperpyrexia
Agitation,delirium
Mydriasis
Urinary retention
Decreased intestinal motility
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Features of opiate toxidrome

A

Miosis
Respiratory depression
Decreased GI motility
Coma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Features of sedative hypnotic toxidrome

A

Coma with normal vitals(ingested benzodiazepines donot cause respiratory depression)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Poisonings in which adequate oxygenation is of concern

A

Cyanide
Methhemoglobinemia
CO poisoning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Effect of cardiac toxins in ECG and their explanations

A

PR prolongation- nodal blockade
QRS- sodium channel blockade
QT- potassium channel blockade

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Toxins which are radio dense in X ray

A
CHIPS
Chloral hydrate
Heavy metals
Iron
Phenothiazines
Enteric coated preparations
Sustained release preparations
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

The clinical utility of activated charcoal is limited if ingestion occurred _______ hrs prior to presentation

A

1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Dose of activated charcoal

A

1g/kg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Indications for multi-dose charcoal

A
Bind to concretions
 Aspirin
Prevent enterohepatic or enteroenteric circulation
 Phenobarbital
 Phenytoin
 Theophylline
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Indications for whole bowel irrigation

A

Sustained release preparations
Metals
Body packing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Dose of PEG for whole bowel irrigation

A

1-2L/h

16
Q

Contraindications to gastric lavage in poisoning

A
Airway compromise
Persistent vomiting
Presence of illeus
Bowel perforation
Bowel obstruction