poisoning

Question 1

Cyanide Mx

Answer 1

Hydroxycobalamin + sodium nitrite/thiosulphate

Question 2

Carbon monoxide Mx

Answer 2

100% O2

Question 3

Iron overload

Answer 3

Desferrioxamine

Question 4

Digoxin tox Mx

Answer 4

DIgoxin specific antibody fragments ( digibind)

Question 5

Organophosphate (insecticide) poisoning

Answer 5

Atropine

Question 6

Methanol poisoning

Answer 6

fomepizole / ethanol
PLUS haemodialysis

Question 7

Ethylene glycol Mx

Answer 7

Fomepizole / haemodialysis

Question 8

BBlocker OD

Answer 8

bradycardia = atropine
resistant cases = glucagon

Question 9

Lithium toxicity

Answer 9

mild mod = volume resus w saline
severe = haemodialysis
?sometimes sodium bicarb?

Question 10

TCA OD Mx

Answer 10

IV bicarb = reduce risk of seizure / arrhythmias

Question 11

Benzo OD Mx

Answer 11

Flumenazil (risk of seizure w this so often managed supportively only)

Question 12

Opiod OD Mx

Answer 12

Naloxone

Question 13

Salicyate OD Mx

Answer 13

Urinary alkilization w IV bicarb
haemodialysis

Question 14

paracetamol OD presenting 8-24 hrs later taken more than _____ to treat w NAC, before plasma levels

Answer 14

150mg/kg