ACLS/ Poisoning Flashcards
Some one overdosing on baths salts should be treated as what kind of OD?
Treat as amphetamine
What drugs treats agitation from amphetamines
Benzodiazepines
Ativan, valium, lorazepam
What drug treats OD of opioids?
Naloxone
What drug treats benzodiazepine OD?
Flumazenil
What kinds of drugs (rx of street) are depressants?
Opiates (codeine, morphine, heroin)
Barbiturates
Benzodiazepines
Ethanol
What kind of drugs have anticholinergic effects?
Antihistamines
Antiparkinsons
Antipsychotics
Muscle relaxants
What do anticholinergic agents cause in patients?
Delirium, tachycardia, dilated pupils, dry/flushed skin
What kind of drugs have sympathomimetic effects?
Cocaine
Amphetamines
Decongestants
“Diet aids”
What do sympathomimetic agents cause in patients?
Delusions, paranoia, tachycardia, HTN, hyperpyrexia, diaphoresis, mydriasis, hyper-reflexia
How do opioids present?
Lethargy
Pinpoint pupils
Decreased HR, BP, bowel sounds
Flaccid muscles
Coma, respiratory depression
Dose a drug to treat opioid OD
Naloxone 400mcg IV or IM q2-3min
What would organophosphates present like?
Confusion CNS depression weakness salivation lacrimation urinary/fecal incontinence pulmonary edema seizures
Dose a drug to treat an organophosphate
Protopam 2g infusion in 100ml of 0.9% sodium chloride over 15-30min perioud
What is length of time activated charcoal can be given after ingestion
60 minutes
Antidote for antifreeze
Antizol
Antidote for benzodiazepines
Flumazenil
Antidote to iron toxicity
Desferal
Antidote to digoxin
Digibind
Antidote to insulin induce hypoglycemia
Glucagon
Antidote to acetaminophen toxicity
Acetadote
Dose epinephrine
1mg every 3-5min
follow each dose with a 20mL flush
Dose vasopressin
40 units IV push one time
What is vasopressin used for?
Alternative to epi
What is epinephrine used for?
All types of cardiac arrest
anaphylaxis
acute asthmatic attacks
