Poising Flashcards
What source would you use for poising ?
TOXBASE / NPIS
Managing main symptoms of poising
Respiration - open airway, chin lift. Assisted ventilation maybe needed, oxygen in carbon monoxide poisoning
BP - hypotension with CNS depressant given sodium chloride, hypertension with amfexamine, phenyclide and cocaine
Body temperature - hypothermia with barbiturates / phenothiazine, hyperthermia with stimulants
Convulsions - benzodiazepines but not IM give IV if not Midazolam or diazepam rectally
Prevention of absorption - activated charcoal
Alcohol intoxication
Ataxia
Dysarthria
Nystagmus
Drowsiness
Hypoglycaemia
Aspirin poisoning
Hyperventilation
Tinnitus
Deafness
Vasodilation
Sweating
Opioid poisoning
Coma
Respiratory depression
Pinpoint pupils
Paracetamol poisoning
Severe hepatocellular necrosis
Liver damage
Give acetylcysteine - most effective within 8 hours
TCA poisoning
Dry mouth
Hypotension
Hypothermia
Dilated pupils
Urinary retention
SSRI poisoning
Nausea and vomiting
Agitation
Tachycardia
Antimalarials poisoning
Convulsions
Arrythmias
Antipsychotic poisoning
1st generation - hypotension, hypothermia and tachycardia
2nd generation - EPSE symptoms, QT prolongation
Bezodiazepine poisoning
Drowsiness
Ataxia
Dysarthria
Nystagmus
beta blocker poisoning
Lightheadedness
Diziness
Bradycardia
Hypotention
Iron overload
Give desfemoxamine
Nausea vomiting
Abdominal pain
Diarrhoea
Rectal bleeding
Liver failure
Theophylline poisoning
Vomiting
Dilated pupils
Tachycardia
Hyperglycaemia
Hypokalaemia
Theophylline antidoate
Repeated charcoale
