SINTHUPEMcsv Flashcards
When do you see toxicity from Amanita poisoning?
6-10 hours after Ingestion
What are the clinical characteristics of Amanita poisoning?
N/V/D Elevated transaminases
Proteinuria/hematuria/jaundice
RX of Amanita poisoning
Charcoal NAC, penicillamine cephalosporins
Liver transplant
How much B blocker is toxic in an infant
1 pill can kill
Cardiac toxicity of B blockers
Myocardial depression Hypotension
Bradycardia
Dysarrythmia
AV block
Pulm toxicity of B blockers
Brochospam
Metabolic toxicity of B blockers?
Hypoglycemia Hyperkalemia
CNS toxicity of B blockers
Siezures Coma
Rx of B blocker toxicity?
ABC Slow IVF ( they are in CHF - no bolus)
Benzo’s for siezures
Activated charcoal in 1st hour
Whole bowel irrigation
Most important Antidote for bb tox?
Glucagon ( make sure there is no phenol, it’s cardiotoxic) -no max
Can use insulin to stabilize glucose while using glucagon.
Which BB are Na channel blockers?
Propranolol and Sotalol
Cardiac affects of propanalol and sotalol?
QRS widening
Rx for propanolol and sotalol toxicity?
Sodium bicarbonate. Mag if developing tosades
Ca blocker toxicity?
N/V Decreased myocardial contractility
AV block, arrest with junctional rhythm
Tachdyseythmias, Torsades
Hyperglycemia, Met acidosis
Lethargy , stupid coma
Rx of CC blockers
ABC Slow IVF
Activated charcoal ( within and hour)
Whole bowel irrigation
Inconsistent - glucagon/catecholimines
