Toxicity

Question 1

-ALOC (Agitation, Delirium, Confusion)
-Lethargy, Drowsy, Weakness
-Lightheadedness/Dizzy
-Respiratory depression
-Hyperglycemia
-Nausea/vomiting
-Constipation
-Edema
-Hypotension
-Bradycardia, AV Blocks

Answer 1

Calcium Channel Blocker OD

TX:
- ABC’s (High Flow O2, Vent, End Tidal cO2)
-HX & Vitals
-12 Lead EKG
-Large Bore IV (2X) or IO
-Fluids
-Calcium & Glucagon
-Epi
-Rapid Transport

Question 2

-ALOC (Agitation, Delirium, Confusion) -Drowsy/Weakness
-Dilated pupils
-Blurred/Double vision
-Fever
-Respiratory depression
-Hypoglycemia
-Edema
-Diaphoretic
-Hypotension
-Seizures
-Bradycardia, AV Blocks

Answer 2

BB OD

TX:
- ABC’s (High Flow O2, Vent, End Tidal cO2)
-HX & Vitals
-12 Lead EKG
-Large Bore IV (2X) or IO
-Fluids
-Calcium & Glucagon
-Epi
-Dextrose (if hypoglycemic from BB)
-Versed (if prolonged seizures occur)
-Rapid Transport

Question 3

-Sedation
-Blurred vision, Dilated pupils
-Constipation
-Dry mouth
-Urine retention
-Tachycardia
-Broad complex dysrhythmias
-Hypotension
-Seizures or Coma

Answer 3

TCA OD

TX:
- ABC’s (High Flow O2, Vent, End Tidal cO2)
-HX & Vitals
-12 Lead EKG (Mag if in Torsades)
-Large Bore IV (2X) or IO
-Lactated Ringers
-Epi **
-Versed** (if prolonged seizures occur)
-Rapid Transport

Question 4

-Headache
-Dizziness
-Weakness
-Confusion
-Blurred/Double vision
-Shortness of Breath
-Chest Pain
-Nausea/Vomiting
-Syncope, Loss of Consciousness

Answer 4

Carbon Monoxide Poisoning

Question 5

Acetaminophen (Tylenol) toxicity
Stage 1

Answer 5

Less than 24 hours

• Nausea/Vomiting
• Anorexia
• Pallor
• Malaise

Question 6

Acetaminophen (Tylenol) toxicity
Stage 2

Answer 6

(24 to 72 hours)

• (RUQ) abdominal pain
• Abd tenderness to palpation

Question 7

Acetaminophen (Tylenol) toxicity
Stage 3

Answer 7

(72 to 96 hours)

• Metabolic acidosis
• Renal failure
• Coagulopathies
• Recurring GI symptoms

Question 8

Acetaminophen (Tylenol) toxicity
Stage 4

Answer 8

(4 to 14 days [or longer])

-Recovery slowly begins or liver failure progresses and the patient dies

The antidote for acetaminophen toxicity is acetylcysteine (Acetadote); ideally, it should be given within 8 hours following ingestion

Question 9

Snake Bite TX

Answer 9

• ABC’s (O2)
  -HX
  -Remove Constrictive Items
  -Marker the initial edema
  -Large Bore IV (2X)
  -Lactated Ringers
  -Pain management
  -Immobilize Extremity
  -Rapid Transport