Toxicology Flashcards

1
Q

Muscarinic toxidrome, agents, treatment

A

Muscarinic toxidrome - acetylcholine toxicity/cholinergic
Agents such as organophosphates

DUMBELS or SLUDGE
D - diarrhoea
U - urination
M - miosis
B -  bronchorrhea and body fasciculations and bradycardia 
E - emesis 
L - lacrimation 
S - salivation
S - salivation
L - lacrimation
U - urination
D - defecation
G - GI cramping
E - emesis 

Treatment is chlonergic antagonist such as atropine and pralidoxime.

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2
Q

Serotonergic toxidrome

A

Agitation, autonimic instability auch as tachycardia, neuromuscular acitivity such as clonus. Myoclonus, brief hyperreflexia, higher tones. Diaphoresis.

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3
Q

Anticholinergic syndrome

A

Anticholinergic syndrome - mad as a hatter, blind as a bat (mydriasis), red as a beet (flushed skin), hot as a hare (dry skin/anhydrosis), dry as a bone, heart races alone. Treatment with physostigmine.

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4
Q

Activated charcoal cannot be used in

A

Needs to be used within 1-2 hours. Cannot be used for acids, alkali, alcohols, ions/metals like iron overdose

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