Acute poisoning Flashcards
1
Q
3 timeframes of poison exposure
A
- acute
- chronic
- acute on chronic
2
Q
top 3 products
A
- pain meds
- sleeping pills
- household products
3
Q
treatment steps for poisoned PT
A
- remove from harm
- ABCs
- treat PT, not poisoning
- minimize absorption
- enhance elim
- use antagonism or antidote if possible
4
Q
action of charcoal
A
help adsorb the product
5
Q
where is charcoal not used (3)
A
- low molecular weights (alcohols)
- metals, highly ionized salts
- Pt has unprotected airways
6
Q
ratio of charcoal
A
10:1
7
Q
when to induce vomiting
A
not usually done anymore - maybe if right after
8
Q
when to lavage
A
only if very toxic substance has recently been taken (<1hour)
9
Q
when to use whole bowel irrigation
A
metals or enteric coated drugs
10
Q
how can metabolism be targeted
A
for agent that need to be bioactivated (glycol) to toxic species, slow the metabolism
11
Q
2 ways to enhance elimination
A
- bicarb to elim acidic species
2. hemodyalisis
12
Q
N-acetycysteine fixes
A
- thiol donor
13
Q
naloxone fixes
A
opiods
14
Q
calcium fixes
A
CCBs
15
Q
glucagon fixes
A
B-blockers, CCBs
