Poisons and Overdoses

Question 1

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.

Answer 1

50

Question 2

Avoid intubating aspirin overdoses unless ___

Answer 2

absolutely necessary

Question 3

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

Answer 3

> 65, >50

Question 4

Calcium channel blocker OD

Answer 4

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

Question 5

Mildly symptomatic CO poisoning should be transported to

Answer 5

Nearest ER

Question 6

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

Answer 6

Hyperbaric chamber

Question 7

Treat chlorine inhalation with symptoms

Answer 7

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

Question 8

Cyanide OD treatment

Answer 8

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

Question 9

If peds displays symptoms of OD or poison considering

Answer 9

abuse or neglect

Question 10

Peds activated charcoal 1gram per KG max of

Answer 10

100

Question 11

Do not neutralize

Answer 11

acids or alkalis

Question 12

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

Answer 12

3-20%