Emergency Department Prep

Question 1

Beta Blocker Overdose- what to give

Answer 1

glucagon

Question 2

Fomepizole

Answer 2

methanol poisoning

inhibits alcohol dehydrohnase

Question 3

Salicylate Poisoning - Acid/Base Disorder

Answer 3

metabolic acidosis

respiratory alkalosis

Question 4

Aspirin Toxicity Common Symptoms

Answer 4

tinnitus, vertigo

N/V/D

Question 5

Salicylate Poisoning Management

Answer 5

• activated charcoal to alert patients
• Alkalinization fo serum and urine (Na Bicarb, KCl)
• HD

Question 6

Half-life of narcan

Answer 6

60 minutes

Question 7

Alcohol Withdrawal time line

Answer 7

6 hours after (hallucinosis)
12 h withdrawal seizures
DTs 48-96h later

Question 8

Lead poisoning treatment

Answer 8

CA EDTA

BAL

Question 9

Tylenol Toxicity Nomogram

Answer 9

first level 4h after ingestion

nomogram stops at 24 hours

Question 10

Cocaine Ingestion

Answer 10

Dysrhythmias, HTN, MI (vasospasm)

Hyperpyrexia

Question 11

Treatment of Cocaine MI

Answer 11

same except beta blockers

benzos

Question 12

Treatment for isoniazid toxicity

Answer 12

pyridoxine

Question 13

Anticholinergic Poisoning

Answer 13

Hot as a hare, blind as a bat, dry as a bone, red as a beet, mad as a hen
mydriasis, urinary retention

Question 14

Cholinergic Poisoning

Answer 14

SLUDGE: salivation, lacrimation, urination, defecations, GI hypermobility, Emesis

Question 15

Isopropyl Alcohol Ingestion

Answer 15

osmolar gap w/o anion gap

Question 16

Serotonin Syndrome- symptoms

Answer 16

mild tremor, agitation

altered mental status, hypertonicity, hyperthermia

Question 17

Serotonin Syndrome treatment

Answer 17

cyproheptadine

benzos for muscle tone, agitation

Question 18

Organophosphate toxicity

Answer 18

Cholinergic intoxication

Question 19

Treatment of organophosphate toxicity

Answer 19

Atropine until dry secretions

2-PAm w/in 36 hours for muscle weakness (nicotinic effects)

Question 20

Cluster Headache treatment

Answer 20

oxygen or sumatriptan