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GPhC BNF > Poisoining > Flashcards

Poisoining Flashcards

1
Q

REPEATED DOSES for activated charcoal?

A

REPEATED DOSES REPEATED DOSES REPEATED DOSES

  1. Carbamazepine
  2. Dapsone
  3. Phenobarbital
  4. Quinine
  5. Theophylline
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2
Q

S&S: Alcohol

A

ataxia, dizziness, drowsiness, nystagmus,

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3
Q

S&S: Aspirin

A 
hyperventilation
deafness
tinnitus
vasodilation
sweating
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4
Q

Treatment Options: Aspirin (3)

A
  1. Activated charcoal (within an hour)
  2. Sodium bicarbonate
  3. Haemodialysis (700mg/L OR 5.1mmol/L conc)
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5
Q

S&S: Opioids

A

Coma
Respiratory Depression
Pinpoint Pupils

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6
Q

Treatment: Opioids

A

Naloxone

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7
Q

S&S: Paracetamol

A

Initially: Just nausea and vomiting
Later: Encephalopathy/coma/death

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8
Q

Treatment: Paracetamol

A

IV Acetylcysteine - 3 consecutive infusions

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9
Q

S&S: TCAs

A

dry mouth
hypotension
hypothermia
hyperreflexia

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10
Q

Treatment: TCAs (3)

A
  1. Charcoal (1hr)
  2. Sodium bicarbonate
  3. IV Lorazapam/diazepam
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11
Q

S&S: SSRIs

A 
N&V
agitation
tremor
nystagmus
drowsiness
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12
Q

Treatment: SSRIs (2)

A
  1. Charcoal

2. (IV?) lorazepam/diazepam/ midazolam oromucosal solution?

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13
Q

S&S: Antipsychotics

A 
drowsiness
convulsions
EPse
Hypotension
QT Ls
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14
Q

Treatment: Antipsychotics (2)

A
  1. Charcoal

2. Procyclidine for EPSEs

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15
Q

S&S: BENZODIAZEPINES

A 
drowsiness
ataxia
dysarthria
nystagmus
respiratory depression
coma
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16
Q

Treatment: BENZODIAZEPINES

A

Charcoal & Flumazenil (specialist)

17
Q

S&S: Beta blockers

A

BRADYCARDIA
LIGHTHEADEDNESS
HYPOTENSION
HYPOGLYCAEMIA

18
Q

Treatment: Beta Blockers

A
  1. Atropine (bradycardia)

2. IV Glucagon (hypotension)

19
Q

S&S: Calcium channel blockers

A

Hypotension, Heart Block, Arrythmias

20
Q

Treatment: Calcium channel blockers (4)

A
  1. Charcoal
  2. Calcium chloride / Calcium gluconate
  3. Atropine
  4. Insulin and glucose
21
Q

S&S: Iron Salts

A

Abdominal pain, vomiting blood & rectal bleeding

22
Q

Treatment: Iron Salts

A

Desferrioxamine mesilate

23
Q

Causes: Lithium (4) - Reduced excretion

A
  1. Dehydration
  2. Renal function deterioration
  3. Infections
  4. Co-administration with NSAIDs/Diuretics
24
Q

S&S: Lithium

A

Weakness, Muscle tremor, Electrolyte imbalance, Dehydration, Hypotension

25
Q

Treatment: Lithium (3)

A
  1. Haemodialysis
  2. Fluids
  3. Gastric lavage
26
Q

S&S: Cocaine, ecstasy, amfetamines

A

Wakefulness, Paranoia & Hallucinations

27
Q

Managment: Cocaine, ecstasy, amfetamines

A

Diazepam

For ecstasy - methylenedioxymethamfetamine

28
Q

S&S: Theophylline

A

Fast and sick

29
Q

Management: Theophylline (5)

A
  1. Repeated doses of charcoal (MR)
  2. Ondansetron for vomiting
  3. IV potassium chloride
  4. IV lorazapam
  5. Short acting beat blocker
30
Q

Management: Digoxin

31
Q

Management: Dabigatran

A

Idarucizumab

32
Q

Management: Warfarin

A

Vitamin K (PHYTOMENADIONE)

GPhC BNF (48 decks)

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