Tox Flashcards
beta blocker OD that would cause seizure
propanolol
antidote to sarin gas most effective if given within 4-6 hours of exposure
pralidoxime
headache, blurry vision, papilledema, hair loss, pruritic skin, person overdosing on what?
Vitamin A
possible kerosene or hydrocarbon ingestion, pt asymptomatic, next step
obs 6 hours and do chest XR at 6 hours
valproic acid toxicity treatment
L carnitine
weird side effect of phenytoin
gingival hyperplasia
lead poisoning antidote
dimercaprol
eating fish, hot and cold sensation seem to be off - dx?
ciguatera tox
treatment of salicylate tox
sodium bicarb
retinal hyperemia - what ingestion and causes what acid build up?
methanol, formic acid build up
oxymetazoline/flonase OD can present as what other drug
clonidine
blurred vision, bradycardia, EKG with hyperK and peaked T waves - what toxicity
digoxin
patient develops HIT on heparin, next step
stop heparin and start direct thrombin inhibitor, bivalirudin
tx for cardiac arrest in digoxin overdose
10 vials of digoxin specific antibody
serious complication of lithium toxicity
arginine vasopressin resistance (nephrogenic DI)
what cofactor should be supplemented in ethylene glycol poisoning?
thiamine
what recreational drug can contribute to seratonin syndrome
MDMA/ectasy
what blood lead level indicates the need for chelation therapy with dimercaprol in asymptomatic child?
70 ug/dL
OD - pH 7.2, PaCO2 at 20, HCO3 at 12
salicylate tox
what acid base disturbance do you see first in salicylate tox
early respiratory alkalosis
what is the active metabolite in acetaminophen toxicity
N-acetyl-p-benzoquinoneimine (NAPQI)
ketosis without a wide anion gap metabolic acidosis
isopropyl alcohol (rubbing alcohol)
30 min after TCA overdose, sinus tach, next treatment
activated charcoal
treatment of SLUDGE and DUMBBELLS
atropine, then pralidoxime (2 PAM)
