Specific OD symptoms

Question 1

Acetaminophen (acetaminophen level)

Answer 1

24 hours: nausea and vomiting

48-72 hours: hepatic failure/toxicity

Question 2

Aspirin/Salicylate (salicylate level)

Answer 2

Initial: tinnitus, restlessness, N/V, mild GI discomfort
+ a few Hrs: depressed consciousness, fever,
respiratory alkalosis precedes metabolic acidosis
(toxic to lungs + ARDS)

Question 3

Carbon Monoxide (carboxyHb level; CO oximetry)

Answer 3

SOB, Lightheadedness, Throbbing HA, Disorientation, Metabolic acidosis, seizures, syncope, death from MI

Question 4

Carbon Monoxide levels (carboxyHb level; CO oximetry)

Answer 4

Pulse ox: Normal (PO2: Normal); CarboxyHb level: Increase

Question 5

Digoxin

Answer 5

GI disturbance (N/V/D, pain); blurred vision/yellow halos; arrhythmia (PR prolong or paroxysmal atrial tachy w/block);

Question 6

Ethylene Glycol & Methanol

Answer 6

Intoxication + Metabolic acidosis with increased anion gap (kussmaul’s respiration: rapid, deep breathing pattern)

Question 7

Ethylene Glycol

Answer 7

Renal toxicity: hypocalcemia, Kidney (oxalate) stones

Question 8

Methanol

Answer 8

Ocular toxicity: Visual disturbance, Retinal hyperemia

Question 9

Methemoglobinemia (methemoglobin level)

Answer 9

Normal PO2; Cyanosis, SOB, Dizziness, HA, Confusion, Seizures

Question 10

Neuroleptic malignant syndrome

bromocriptine, dantrolene

Answer 10

h/o: antipsychotic meds; muscle rigidity

Question 11

Malignant hyperthermia

dantrolene

Answer 11

h/o: anesthetic use; muscle rigidity

Question 12

Heat stroke
(hydration, external/evaporative cooling)

Answer 12

h/o: exertion on hot day

Question 13

Neuroleptic MS; M. hyperthermia, Heat Stroke symptoms:

Answer 13

High temperature + Confusion + Arrythmia + CPK & K+

Question 14

Heat Exhaustion:

Answer 14

Excessive sweating, N/V

Question 15

Opiate Intoxication

Answer 15

Death from respiratory depression

Question 16

PCP Intoxication

Answer 16

Agitation, Restless, Aggressive, Disoriented, Nystagmus

Question 17

Organophosphates (blocks AChe/increases ACh)

Answer 17

salivation, lacrimation, wheezing/bronchospasm, urination, diarrhea, garlic-odor, lethargy, confusion

Question 18

TCA

Answer 18

Seizures, Arrhythmia, Anticholinergic effects (dilated pupils, dry mouth, constipation, urinary retention)

Question 19

Black widow

Answer 19

Abdominal pain, rigidity, hypocalcemia (antivenin)

Question 20

Brown Recluse

Answer 20

Local necrosis, bullae, dark lesions (deride +/- steroids, dapsone)

Question 21

Dog/Cat bite

Answer 21

Prophylactic: amoxicillin/clav +/-tetanus toxoid, tetanus Ig

Question 22

Burns

Answer 22

Hoarseness, wheezing, stridor, burns inside nose/mouth

Question 23

Hypothermia: mild

Answer 23

89.5-95*: confusion, ataxia, slurred speech

Question 24

Hypothermia: moderate

Answer 24

82.4-89.6*: CNS depression, hypoventilation, hypotension, bradycardia

Question 25

Hypothermia: severe

Answer 25

< 82.4: hypotension, arefelxia, coma, Vfib, asystolic