23.3 Toxicology Flashcards
one pill can kill, dangerous ingestions?
amphetamines beta blockers CCBs digoxin opioids sulphonylureas TCA
pesticides which ones?
paraquat: 1 mouthful
what is the acronym DEAD?
decontamination
elimination
antidotes
deposition
after ABCs what to watch out for?
full neuro exam
urinary retnetion
skin
bowel sounds
which drug levels are helpful?
paracetamol if indicated phenytoin carbamazepine valproate phenobarbitone
anticholinergic toxidromes?
blind as a bat mad as a hatter red as a beet hot as a hare dry as a bone bowel and bladder lose their tone, Retention heart runs alone
anticholinergic toxidromes, which causes agitated delirium?
plants
pills that cause anticholinergic toxidromes present?
usually partially sedated
anticholinergic toxidromes pupils?
dilated
anticholinergic toxidromes bladder?
retention usually, IDC can be beneficial
common causes of anticholinergic toxidromes?
anti-histamines TCA phenothiazine plants: datura, brugmansia benztropine (for dystonia)
Cholinergic crisis classically think?
secretions
organophosphates
Cholinergic crisis acrynoym for secretions?
DUMBELS
diarrhoea urination miosis bradycardia, bronchorrea emesis lacrimation salivation
sympathomimetic syndrome is?
hot, sweaty patient hypertension tachy dilated pupils agitation sweating hyperthermia - treat
sympathomimetic toxidrome causes?
- cocaine
- methamphetamines
- ecstasy, MDMA
- synthetic ‘marijuana’
serotonin toxicity key examination findings?
hyperreflexia, clonus
sweating
hypertension
dilated pupils