toxicity ingestion

Question 1

tricyclic antidepressant ingestion SxS in small child (CNS)

Answer 1

1. drowsiness
2. lethargy
3. coma
4. seizures

Question 2

tricyclic antidepressant ingestion SxS in ado (cardio)

Answer 2

1. tachycardia
2. initial HTN
3. followed by hTN
4. wideninng of the QRS complex and bundle branch blocks

Question 3

tricyclic antidepressant antidote

Answer 3

Fab antibody fragments

Question 4

Acetaminophen ingestion SxS

Answer 4

• N, V, diaphoresis
• early symptoms resolve in 24 to 48h progressing to RUQ abdo pain n liver function enzyme elevate
• by 2 to 3 days, after ingestion the peak liver function aN noted
• by 4days to 2w either recovery of liver function noted or complete liver failure ensues

Question 5

Acetaminophen antidote

Answer 5

N-acetylcysteine

Question 6

Narcotic ingestions antidote

Answer 6

naloxone

Question 7

Narcotic ingestion SxS

Answer 7

respiratory depression

Question 8

Methanol ingestion cause

Answer 8

1. mild inebriation
2. visual disturbances
3. N n V
4. drowsiness
5. profound acidosis

Question 9

Iron overdose tt

Answer 9

deferoxamine

Question 10

Iron overdose SxS

Answer 10

early N, V, diarrhea, abdo pain, bloody stools, hTN, and ultimately gastric scarring

Question 11

early neonatal care in uncomplicated pregnancy

Answer 11

1. initial physical assessment
2. removal of airway secretions
3. drying the infant and keeping warm
4. early preventive measures (gonococcal ophthalmia prevention, VitK supplementation)