Clinical Toxicology Flashcards

1
Q

What are the features of an anticholinergic toxidrome?

A
dilated pupils
hyperthermia
warm dry skin
tachycardia
delirium
urinary retention
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2
Q

What are the features of a sympathomimetic toxidrome?

A
tachycardia
hypertension
agitation
diaphoresis
hyperthermia
warm wet skin
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3
Q

What are the features of opioid toxidrome?

A

miosis, sedation, respiratory depression

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4
Q

In which patients should you consider whole bowel irrigation?

A

for large ingestions of iron, lithium lead, slow release calcium channel antagonist

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5
Q

In which drugs should you consider dialysis to treat toxicity?

A

lithium, salicylates, valproate, toxic alcohols, metformin

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6
Q

What drug is contraindicated in resuscitation of quetiapine overdose?

A

adrenaline

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7
Q

What is the antidote for SSRI toxicity?

A

cyproheptadine

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8
Q

Which antidepressants can cause torsades?

A

citalopram and escitalopram

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9
Q

What are the most common clinical features of a TCA overdose?

A

coma and tachycardia

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10
Q

What is the antidote for TCA overdose?

A

sodium bicarbonate

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