Poisons Flashcards
What should you ask on the phone to a suspected poisoning?
What, when, dose?
Bodyweight
Who should you call for information about poisons?
Veterinary poisons information service - VPIS
What should the owner bring?
Product label/photo
Sample of product
What are the 5 main categories of the patient triage after poisoning?
Respiratory CV Neuro Urogenital Other eg. abortion, dermatological
What are the 3 general principles of managing intoxication?
Remove/eliminate toxin
Reduce ongoing absorption
Dilution of toxin
What are the 4 main methods of removing/eliminating toxin?
Induce emesis
Gastric lavage
Cutaneous decontamination
Haemodialysis
When should you do emesis?
Within 2-3 hours after oral ingestion of a non corrosive agent
When is emesis contraindicated?
If corrosive/irritant
Pre-existing aspiration risk
If petroleum distillate
What are the two emetic agents? How are they administered?
Apomorphine - SC
Xylazine - IM
When should gastric lavage be used?
Within an hour
Induction of emesis unsuccessful
How is gastric lavage performed?
Under anaesthesia
Intubated
Lateral recumbency
Use gravity to lavage with warmed water/activated charcoal
How do you perform cutaneous decontamination?
Clip affected regions
Warm water
Mild shampoo/detergent
What are the two methods of reducing ongoing obsorption?
Enteric adsorbents
Intralipid
What is an example of an enteric adsorbent?
Activated charcoal
How are intralipids useful?
They bind to substances that have already been absorbed into the blood stream to prevent them from reaching the brain
What supportive management can be given for intoxication?
Specific antidote Analgesia Maintain hydration and nutrition Manage nausea - antiemetics Tremors - muscle relaxants
What can be given for hepatotoxins?
Antioxidant support
Lactulose
What substances should you not worry about?
Contraceptive pill
Silica gel
Catnip