OD/Poisoning symptoms Flashcards
Acetaminophen
Nausea, hepatic insufficiency
Anticholinergics (atropine)
Hot as a hare Dry as a bone Red as a beet Blind as a bat Mad as a hatter Bloated as a toad Tachycardia
Benzodiazepines
Sedation, respiratory depression
BB
Bradycardia (esp if in kids), hypotension
Hypoglycemia, pulmonary edema
CCB
Bradycardia (esp if in kids), hypotension
Cocaine
Tachycardia, agitation, HTN
Dilated pupils
Cyanide
+HR, HTN, +RR, AMS -> obtundation -> coma -> death
Late stage: bradycardia, hypotension, decreased respiratory rate, cyanosis, hepatic necrosis, renal failure
Digoxin
N/V, visual changes (yellow filter), cardiac arrhythmias (bradycardia, MC on EKG are PVCs)
Prolonged PR, ST scooping on EKG can be normal
Hyperkalemia denotes severity
Heparin/Warfarin
Excessive bleeding (nosebleeds, gross hematuria, etc) Easy bruising
Isoniazid
Neuropathy
Hepatotoxicity
Isopropyl alcohol
Decreased consciousness, nausea, abdominal pain
Methanol
HA, visual changes, dizziness
Opioids
Pinpoint pupils, CNS depression, respiratory depression
Aspirin
Tinnitus*
Hyperthermia, N/V
Hyperventilation (respiratory alkalosis)
Plus +AG metabolic acidosis
Sulfonylureas
Hypoglycemia (long half life)
TCAs
Anticholinergic (tachycardia, dry mouth, urinary retention)
Cardiac (QRS widening)
CNS (seizures)
Caustic chemicals
Severe oropharyngeal and gastric irritation or burns
Drooling, odynophagia, abdominal pain
Gastric perforation symptoms
Ethylene glycol
Ataxia, hallucinations, seizures, sweet breath
Organophosphates
DUMBBELSS Diarrhea Urination Miosis Bradycardia Bronchospasm Excitation of skeletal muscle/emesis Lacrimation Sweating Salivation Abdominal cramping
Iron
Nausea, constipation, hematemesis, lethargy, shock
Shock and metabolic acidosis and widespread organ failure (poor outcome)
Hepatotoxicity >12 hrs later
Vomiting/bowel obstruction 2-8 wks later
Lead
Peripheral neuropathy, anemia
Mercury
(Swordfish)
Renal insufficiency, tremor, mental status changes
Theophylline
(refractory COPD/Asthma)
Seizures, hyperthermia, hypotension, cardiac arrhythmias
Carbon monoxide
HA, dizziness, nausea, myalgias
Mental status changes, possible hypotension
Cherry red lips (very bad, rare sign)
Magnesium sulfate
(used to prevent seizures in preeclampsia)
First sign: decreased DTR
Second: respiratory depression/paralysis, pulm edema
Third: cardiac arrhythmias, cardiac arrest
