AMS

Question 1

AEIOU TIPS

Answer 1

alcohol ingested toxins
Epilepsy, encephalitis, endocrine, electrolytes
infection, insuli
overdose, opitates, oxygen depreived
uremia (Renal failure)
trauma, temperature
insulin, infection
psychosis
stroke, shock, space occupying lesion

Question 2

hypoglycemia + tachycardia + hypotension

Answer 2

normal saline bolus, D225 bolus. maintenance fluid with dextrose 10% in water D10W

Question 3

cholinergic

Answer 3

cause by organophosphates

Miosis and blurred vision
Increased gastric motility (nausea, vomiting, diarrhea)
Excessive tearing, salivation, sweating and urination
Bronchorrhea and bronchospasm
Muscle twitching and weakness
Bradycardia
Seizures and coma

Mnemonic: “SLUDGE” (salivation, lacrimation, urination, defecation, GI motility, emesis)

Question 4

TCA ingestion

Answer 4

agitation, cardiac (hypotension), dilate pupils, dry hot skin

Question 5

decongestant

Answer 5

sympathomimetic toxidrome. tachy, HTN, agitation, sweating, fever, mydriasis, sz

Question 6

aspirin tox

Answer 6

agitation and tachycardia. no mydriasis

Question 7

activated charcoal

Answer 7

I for ingestion not due to small molecule or heavy metal
CI: loss of protective airway reflexes bc aspirate
should be give with single dose of cathartic agent