OD/Poisoning symptoms

Question 1

Acetaminophen

Answer 1

Nausea, hepatic insufficiency

Question 2

Anticholinergics (atropine)

Answer 2

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

Question 3

Benzodiazepines

Answer 3

Sedation, respiratory depression

Question 4

BB

Answer 4

Bradycardia (esp if in kids), hypotension

Hypoglycemia, pulmonary edema

Question 5

CCB

Answer 5

Bradycardia (esp if in kids), hypotension

Question 6

Cocaine

Answer 6

Tachycardia, agitation, HTN

Dilated pupils

Question 7

Cyanide

Answer 7

+HR, HTN, +RR, AMS -> obtundation -> coma -> death

Late stage: bradycardia, hypotension, decreased respiratory rate, cyanosis, hepatic necrosis, renal failure

Question 8

Digoxin

Answer 8

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

Question 9

Heparin/Warfarin

Answer 9

Excessive bleeding (nosebleeds, gross hematuria, etc)
Easy bruising

Question 10

Isoniazid

Answer 10

Neuropathy

Hepatotoxicity

Question 11

Isopropyl alcohol

Answer 11

Decreased consciousness, nausea, abdominal pain

Question 12

Methanol

Answer 12

HA, visual changes, dizziness

Question 13

Opioids

Answer 13

Pinpoint pupils, CNS depression, respiratory depression

Question 14

Aspirin

Answer 14

Tinnitus*
Hyperthermia, N/V
Hyperventilation (respiratory alkalosis)
Plus +AG metabolic acidosis

Question 15

Sulfonylureas

Answer 15

Hypoglycemia (long half life)

Question 16

TCAs

Answer 16

Anticholinergic (tachycardia, dry mouth, urinary retention)
Cardiac (QRS widening)
CNS (seizures)

Question 17

Caustic chemicals

Answer 17

Severe oropharyngeal and gastric irritation or burns
Drooling, odynophagia, abdominal pain
Gastric perforation symptoms

Question 18

Ethylene glycol

Answer 18

Ataxia, hallucinations, seizures, sweet breath

Question 19

Organophosphates

Answer 19

DUMBBELSS
Diarrhea
Urination
Miosis
Bradycardia
Bronchospasm
Excitation of skeletal muscle/emesis
Lacrimation
Sweating
Salivation
Abdominal cramping

Question 20

Iron

Answer 20

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

Question 21

Lead

Answer 21

Peripheral neuropathy, anemia

Question 22

Mercury

Answer 22

(Swordfish)

Renal insufficiency, tremor, mental status changes

Question 23

Theophylline

Answer 23

(refractory COPD/Asthma)

Seizures, hyperthermia, hypotension, cardiac arrhythmias

Question 24

Carbon monoxide

Answer 24

HA, dizziness, nausea, myalgias
Mental status changes, possible hypotension
Cherry red lips (very bad, rare sign)

Question 25

Magnesium sulfate

Answer 25

(used to prevent seizures in preeclampsia)
First sign: decreased DTR
Second: respiratory depression/paralysis, pulm edema
Third: cardiac arrhythmias, cardiac arrest