Poisons and Overdoses Flashcards

1
Q

If it is less than two hours since ingestion of ASA or APAP, administer 1 gram/kg of activated charcoal
PO/NG to a max of __ grams.

A

50

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2
Q

Avoid intubating aspirin overdoses unless ___

A

absolutely necessary

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3
Q

BB OD Treat symptomatic bradycardia and/or hypotension with push dose epinephrine.
Consider epinephrine drip at 2 – 10 mcg/min. Titrate to MAP of __ or HR __ bpm

A

> 65, >50

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4
Q

Calcium channel blocker OD

A

Calcium gluconate, 1-3 g slow IV/IO over 5-10 minutes.

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5
Q

Mildly symptomatic CO poisoning should be transported to

A

Nearest ER

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6
Q

All suspected carbon monoxide exposure patients with a SpCO level ≥ 15 (RAD-57)
and exhibit severe symptoms of CO poisoning symptoms should be transported to

A

Hyperbaric chamber

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7
Q

Treat chlorine inhalation with symptoms

A
  1. Albuterol - 2.5 mg nebulized.
  2. Dexamethasone - 10 mg IV/IO/IM/PO.
  3. Sodium bicarbonate 8.4% - 2.5 ml via nebulizer.
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8
Q

Cyanide OD treatment

A

Hydroxocobalamin (Cyanokit™) 5 g IV/IO over 15 minutes. Repeat once if needed.
For cardiac arrest, hydroxocobalamin should be administered as a rapid fluid bolus.
Consider Sodium Thiosulfate 50 mL of 25% solution over 10 minutes if
Hydroxocobalamin (Cyanokit™) not available

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9
Q

If peds displays symptoms of OD or poison considering

A

abuse or neglect

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10
Q

Peds activated charcoal 1gram per KG max of

A

100

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11
Q

Do not neutralize

A

acids or alkalis

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12
Q

SpCO levels may be elevated in smokers. Levels can range from __% depending on the
number of packs smoked.

A

3-20%

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