Drugs

Question 1

What is the alkalosis or acidosis in ASA (Slicylate) OD?

Answer 1

Metabolic Acidosis= High Anion Gap

Question 2

ASA (Slicylate) OD management

Answer 2

1. Activated Charcoal + Gastric Lavage
2. Alkalinization: Sodium Bicarb
3. IV fluids

Question 3

Correctly identify the toxin/OD described below:

Hyperthermia
Tacychardia, HTN
Hot, flushed, dry skin & mucous membranes
Mydriasis= Dilated pupils
Urinary retention 
CNS: confusion, delirium

Answer 3

Anticholinergic OD

Question 4

Anticholinergic OD treatment

Answer 4

Physiostigmine: Ach inhibitor

Question 5

What is the antidote to TCA toxicity?

Answer 5

Sodium Bicarbonate

Question 6

Cholinergic antidote/management

Answer 6

Atropine (anticholinergic) + Pralidoxime (reactivates the cholinesterase enzyme)

Question 7

what is the antidote in iron OD? other management?

Answer 7

Deferoxamine

Gastric lavage + whole bowel irrigation

Question 8

Sympathomimetic toxicity: Amphetamines, Cocaine, MDMA, Pseduoephedrine si/sx’s

Answer 8

Tachycardia, HTN
Tachypnea
Hyperthermia
Mydriasis 
Piloerection
Diaphoresis

Question 9

Sympathomimetic toxicity treatment

Answer 9

Benzo’s

Question 10

Brown recluse spider bite skin findings

Answer 10

Erythematous margin around ischemic center (“red halo”)

24-72 hr after hemorrhagic bull that undergoes eschar formation–>necrosis

Question 11

Brown Recluse treatment

Answer 11

1. Local wound care: Clean with soap & water

2. Pain control

Question 12

Black Widow management

Answer 12

1. Benzodiazepines
2. Methocarbamol
3. Antivenom in severe cases