Emergency Med, Environ, Other Tasks Flashcards
red man syndrome
Associated with vancomycin
flushing secondary to histamine release
add Benadryl and slow infusion
Abx known for ototoxicity
aminoglycosides- gentamycin
~vancomycin
what SSRI is known for QT prolongation?
Citalopram (Celexa)
PCN allergy what other abx class is more likely to have cross-reacitivty
Cephalosporins
ie cephalexin, cefoxitin
Pt presents with ruptured Achilles after completing course or antibiotics for his recurrent sinus infection, what antibiotic most likely attributed to this?
Fluroquinolones
-levofloxacin
What abx has been shown to cause a neuro-muscular blockade that can lead to respiratory paralysis?
How is it reversed?
Amnoglycosides- gentamycin, tobramycin
neostigime
What drug used in the treatment of SLE can cause impaired night vision?
hydroxychloroquine
Pt with psych history now with diagnoses of diabetes insipidus. What med would likely cause this?
lithium
what types of meds should be avoided in patients on nitrates?
phosphdiesterase 5 inhib
- sildenafil (Viagra)
can lead to HoTN
Drugs that cause bradycardia
PACED P-propranolol and other BB A- anticholinestease C- clonidine and CCBs E- ethanol and other alcohols D- digoxin
Drugs/causes of rapid respiratoins
PANT P-PCP, pneumonitis A- ASA, other salicyclates N- nocardiogenic pulm edema T- toxin induced metab acidosis
Slow respiration OD causes
SLOW S- sedative hypnotics L- liquor O- Opiates W- weed
OD that lead to hyperthermia
NASA N- neuroleptic malignant syndrome, nicotine A- antihistamines S- salicylates, sympathomimetics A- anticholinergics, antidepressants
OD that leads to hypothermia
COOLS C-carbon monoxide O- opiates O- oral hypoglycemic, insulin L- liquor S- sedative hypnotics
Causes of seizures
OTIS CAMPBELL oranophosphates TCAs isoniazid, insulin sympathomimetics cocaine, camphor amphetamines, anticholinergics methylxanthines PCP benzo withdrawal ethanol withdrawal lithium, lidocaine lead, lindane
Pt presents to ED with AMS, on exam they have warm flushed dry skin, dilated pupils, and decreased bs. Most likely OD?
anticholinergic - antihistamines, TCAs hot as hare- hyperthermia red as a beet- flushed skin dry as a bone- dry skin blind as a bat- dilated pupils mad as a hatter- AMS, delirium, halluc, szs
+tacky, HTN, urinary retention, decreased bs
Pt to ED with AMS and agitation
is diaphoretic, tachycardiac, hyperthermic, hypertensive, and has midriasis.
most likely OD?
sympathomimetics
- cocain, amphetamines, decongestants, caffeine, theophylline
antidote for acetaminophen
indications?
N-acetylcysteine
- serum level over nomogram line
- detectable levels after 24hr
- prego
- hepatic failure
antidote coumadin
vit K, FFP
antidote digoxin
digibind
antidote BB
glucagon
antidote TCAs
sodium bicarb
antidote methanol or ethylene glycol (antifreeze)
ethanol
Pt with visual complaint of “stepping into a snowstorm” with sluggish dilated pupils
Methanol OD
