S16C214 - poisonous plants Flashcards
1
Q
Anamita phalloides, a. bisporigera, gyromita esculenta
mushroom
A
- Day 1: n/v/d >6h after ingestion
- Day 3: hepatic failure, AKI
- tx: charcoal, PCN G, silymarin, cimetidine, hyperbaric oxygen, pyridoxine for gyromitrin
- amanita causes the most deaths
- caused by gyromitrin toxin and amatoxins
2
Q
Inocybe, clitocybe
mushroom
A
- muscarinic (cholinergic)
- SLUDGE
- tx: atropine 0.01mg/kg
- onset
3
Q
Anamita muscaria/pantherina
-mushroom
A
- CNS excitement: ataxia, Sz, tachy, HTN, warm dry skin mydriasis (anticholinergic effects)
- tx: ativan
- onset
4
Q
Psilocybe/gymnopilus mushroom
A
- hallucinations
- tx: ativan
- onset
5
Q
Coprinus mushroom
A
- h/a, flushing, tachy, hyperventilation, SOB, palitations if EtOH co-consumed
- tx: BB for SVT, NE for HoTN
- disulfiram rxn
- inky cap mushroom
6
Q
Castor bean
A
- gastro, delirium, Sz, coma, death
- tx: WBI, supportive
- ricinus
7
Q
Coyotillo
A
- ascending paralysis
- tx: supportive care
8
Q
Foxglove
A
- digitalis
- n/v/d, abdo pain, confusion, cardiac dysrhythmia
- tx: charcoal, lytes, antidysrrhythmic, digiFab
9
Q
Oleander
A
- n/v/d, abdo pain, confusion, dysrrhythmia
- tx: charcoal, lytes, antidysrrhythmics, digiFab
- inhibits Na/K ATPase pump leading to hyperkalemia
10
Q
Poison hemlock
A
- tachy, tremors, diaphoresis, mydriasis, msc weakness, Sz, neuromuscular blockade
- tx: charcoal, supportive
11
Q
Water hemlock
A
- > 6h after ingestion: n/v, abdo pain, delirium, Sz, death
- tx: charcoal, supportive
12
Q
Yew
A
- n/v/abdo pain, Sz, dysrrhythmia, coma
- tx: WBI, supportive
13
Q
Jequirity bean
A
- one of the most lethal plants
- children can die just by chewing and now swallowing the beans
- gastro, delirium, Sz, coma, demyelinating encephalitis, death
14
Q
Ackee
A
-hypoglycemia
15
Q
Aloe
A
-abdo pain, diarrhea, red urine, nephritis
