Toxicology

Question 1

benzo antidote

Answer 1

flumazenil
romazicon

Question 2

beta blocker antidote

Answer 2

glucagon

Question 3

calcium channel blocker antidote

Answer 3

calcium

Question 4

cyanide antidote

Answer 4

hydroxocabalamin

Question 5

TCA antidote

Answer 5

bicarb

Question 6

dystonic reaction

Answer 6

benadryl

Question 7

wernicke encephalopathy

Answer 7

develops sudden with ataxia nystagmus, stupor coma,
comes from alcohol

Question 8

korsakoff psychosis

Answer 8

mental disorder found with wernicke encephalopathy
apathy, poor memory, retrograde amnesia, confabulation permanent
caused by etoh

Question 9

hypoglycemia in alchoholic pt

Answer 9

give glucose with thiamine
(100mg SIVP or IM)
unable to metabolize glucose without thiamine

Question 10

esophageal varicies

Answer 10

swollen veins in esophagus
often rupture and bleed
35% mortalitly rate
comes from cirrhosis

Question 11

cholinergic types

Answer 11

pesticides ( organophosphate, carbamates)
nerve agents (sarin, soman)

Question 12

signs of cholinegic od

Answer 12

sludge
salivation
lacrimation
urination
defecation
gi upset
emesis

headache
bradycardia
weakenss

Question 13

cholinergic od treatment

Answer 13

abc, decon
atropine 1mg every 3-5 min till symptoms resolve
benzo for seizure

Question 14

black widow symptoms and treatment

Answer 14

muscle spasms and cramps from neurotoxin

diazepam and calcium gluconate

Question 15

brown recluse shape
symptoms

Answer 15

fiddle shaped
pain in 1-2 hr
ischemic ring outlined by red halo

Question 16

pit vipers symptoms and treatment

Answer 16

hemolysis
intravascular coagulation
convulsions
acute renal failure

treatment
abc
iv
immobilize extremity in neutral positon and no ice or tq

Question 17

coral snake about

Answer 17

painless bite
symptoms onset 6-12 hours
paralysis and death in 24 hr
ss:
slurred speech, dilated pupils, dysphagia

Question 18

rocky mountain spotted fever

Answer 18

infectious disease from ticks
within a week of bite
headache, fever, loss of apetite, small pink spots develop on wrists and ankles then on entire body

Question 19

lyme disease

Answer 19

most common tick borne disease in US. red dot appears on bite, expands to reddish rash. fever lethargy muscle pain and malasie can occur.
cranial nerve palsies can occur

Question 20

tick paralysis

Answer 20

neurotoxin released by salivary glands of tick.
pt appears restless, then paresthesia in hands and feet, then respiratory system eventually shuts down

Question 21

general sea life treatement

Answer 21

remove barbs, irrigate with saline or water, control bleeding, immerse in hot water, analgesics