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PANCE/EOC > Poisons > Flashcards

Poisons Flashcards

1
Q

TCA’s (Amitryptiline, Nortryptiline) reversal agent

A

Sodium bicarbonate

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2
Q

Meth, MDMA, and Amphetamines (Adderall, Concerta, Ritalin) reversal agent

A

-Ammonium chloride

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3
Q

Opioid (Codone, Hydrocodone, Heroin) reversal agent

A

Naloxone or Naltrexone

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4
Q

Benzodiazepine reversal agent

A

Flumenazil

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5
Q

Beta Blocker reversal agent

A

Glucagon

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6
Q

Theophylline (inhaler) reversal agent

A

BB

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7
Q

Digitalis (Digoxin) reversal agent

A

Digibind

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8
Q

Methemoglobin reversal agent

A

Methylene Blue, Vitamin C

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9
Q

Wafarin reversal agent

A

-Vitamin K and FFP

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10
Q

Heparin reversal agent

A

-Protamine sulfate

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11
Q

-Ethylene Glycol (Antifreeze) reversal agent

A

-IV ethanol infusion

or Fomepizole

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12
Q

Symptoms of Tylenol Toxicity/OD

A
  • Hepatic necrosis

- Anorexia, N/v, jaundice, coagulation abnormalities

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13
Q

Antidote for Tylenol Toxicity

A

N-acetylcysteine

-Activated charcoal (if ingested within 1 hour of ingestion)

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14
Q

Symptoms of Bases (Oven cleaner, Bleach, Drain cleaner) ingestion

A
  • Esophageal or gastric perforation
  • Epiglottitis
  • Respiratory distress
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15
Q

Antidote for ingestion of bases

A
  • Supportive care
  • Emesis prevention
  • Small amount of milk or H2o as diluent
  • DO NOT GASTRIC LAVAGE OR GIVE ACIDS
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16
Q

Symptoms of anticholinergic (antihistamines, atropine or TCA) intoxication

A
  • Hyperthermia (no sweating)
  • Tachycardia
  • HTN
  • Hot, flushed dry skin and mucous membranes
  • Mydriasis
  • Confusion, Seizure, Coma
17
Q

Antidote for Antihistamines or Atropine intoxication

A

physostigmine

18
Q

What will an ECG show if you OD on TCA’s?

A

-Wide QRS, prolonged QT (due to Na channel blocker effects)

19
Q

Intoxication of salicylates such as Aspirin, Pepto Bismol, Wintergreen Oil, Ben Gay has symptoms such as

A
  • Respiratory alkalosis
  • Fever
  • Seizures, coma, encephalopathy
20
Q

Treatment for salicylate intoxication

A
  • Resuscitation (ABCs)
  • Activated charcoal, gastric lavage
  • Sodium bicarbonate to alkalize
  • Glucose for CNS symptoms
  • IVF
21
Q

Intoxication of cholinergics has symptoms such as (SLUMD)

A 
Salivation
Lacrimation
Urination
Miosis
Diarrhea
22
Q

Treatment for Cholinergic intoxication

A

-Atropine + Pralidoxime

23
Q

What are some examples of Cholinergics?

A

Organophosphates
Insecticides
Pesticides (Chlorthio, Diazinon, Malathion)
-Sarin Gas

24
Q

Treatment for Iron Intoxication

A

Deferoxamine

PANCE/EOC (63 decks)

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