Methanol, iron, lithium, digoxin poisoning Flashcards

1
Q

, What are signs and symptoms of methanol poisoning?

A
  • Metabolic acidosis
  • Decreased level of consciousness
  • Poor or no coordination
  • Hypothermia
  • Vomiting
  • Abdominal pain
  • Loss of vision
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2
Q

What is the management of methanol poisoning?

A

Methanol poisoning can be treated with fomepizole, or if unavailable, ethanol may be used.

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3
Q

What are signs and symptoms of iron toxicity?

A
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4
Q

What is the management of iron toxicity?

A

IV fluids
Respiratory support
IVdeferoxamine

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5
Q

What are signs and symptoms of lithium toxicity?

A

Vomiting and diarrhoea
Nystagmus
Tremor
Hyperreflexia
Ataxia
Change in mental status

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6
Q

What is the management of lithium toxicity?

A

Stop lithium
Gastric lavage
Diuretics
Haemodialysis

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7
Q

What are signs and symptoms of digoxin overdose?

A
  • Nausea
  • Vomiting
  • Abdominal pain
  • Headache
  • Dizziness
  • Confusion
  • Delirium
  • Vision disturbance (blurred or yellow vision)
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8
Q

What would you see on an ECG for digoxin overdose?

A

Frequent premature ventricular beats (PVCs) is the most common and the earliest dysrhythmia. Sinus bradycardia is also very common.

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9
Q

What is the management of digoxin overdose?

A

The primary treatment of digoxin toxicity is digoxin immune fab (digoxin specific antibody).

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