Poisoning Flashcards
Signs
- Coma
- Toxicity
- Metabolic acidosis
- Heart rhythm problems
- GI signs
- Convulsions
Systemic & Pulmonary Poisoning
1- Hydrocarbons:
Aspiration Pneumonia, NO lavage or inducing vomiting
2- Caustic:
GI signs and burns, Low fever
3- Alkali:
Liquefactive necrosis in esophagus, if recent infection or dilation antibiotic
4- Acidic:
Pulmonary, Coagulative necrosis, Less damage
Metabolic Acidosis
- Check ABG, Electrolytes, Urine pH
- Methanol, Ethylene Glycol
- Immediate
Anion Gap Metabolic Acidosis
MUDPILES
Methanol/Metformin
Uremia
Diabetic ketoacidois
Paraldehyde/Phenformin
Isoniazid/Iron
Lactic acidosis (Cyanide, CO)
Ethanol/Ethylene glycol
Salicylate/Starvation/Seizures
Hypoglycemia
HOBBIES
Hypoglycemics: Sulfunylureas
Other: Quinine
Beta Blockers
Insulin
Ethanol
Salicylates
Hyperglycemia
- Salicylates
- Isoniazid
- Iron
- Phenothiazines
- Sympathomimetics
Hypocalcemia
- Oxalates
- Ethylene Glycol
- Fluoride
Radiopaque Substance on KUB
CHIPPED
Chloral hydrate/Ca Carbonate
Heavy metals
Iron
Phenothiazines
Play-Doh/Potassium chloride
Enteric coated pills
Dental amalgam
Arrhythmias
- QT Prolonged: Phenothiazines, Antihistamines
- Wide QRS: Quinidines, TCAs
- Sinus Bradycardia: Digoxin, Cyanide, Cholinergics, Betablockers
Toxic Syndromes
- Acetaminophen
- Amphetamines, Cocaine, Sympathomimetics
- Anticholinergics
- CO
- Cyanide
- Ethylene Glycol
- Iron
- Narcotics
- Cholinergics
Acetaminophen syndrome
- Vomit
- Diarrhea
- Pale
- Late jaundice (Liver failure) 72-96h
Amphetamines, Cocaine, Sympathomimetics
- Tachycardia
- Hypertension
- Hyperthermia
- Psychosis & Paranoia
- Seizure
- Mydriasis
- Aggression
Anticholinergics
- Mania
- Delirium
- Fever
- Red & Dry skin
- Dry mouth
- Tachycardia
- Mydriasis
- Urinary Retention
CO
- Headaches
- Vertigo
- Coma
Cyanide
- Coma
- Seizure
- Hyperpnea
- Bitter almond smell
Ethylene Glycol
- Metabolic Acidosis
- Hyperosmolarity
- Hypocalcemia
- Oxalate Crystaluria