Toxicology Flashcards

1
Q

Precipitation of digoxin toxicity

A
  • Hypokalaemia
  • Hypomagnesaemia
  • Increasing age
  • Renal failure
  • hypercalcaemia,
  • myocardial ischemia,
  • hypoxemia
  • acid-base disturbances.

Drugs:

  • Verapamil
  • Diltiazem
  • Amiodarone
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2
Q

Precipitation of serotonin syndrome

A
  • Selective serotonin reuptake inhibitors
  • Serotonin-norepinephrine reuptake inhibitors
  • Monoamine oxidase inhibitors
  • Tricyclic antidepressants
  • Tramadol
  • Linezolid

Link

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3
Q

Causes of folate deficiency

A
  • Nutritional deficiency, particularly in alcoholics or anyone who does not eat green leafy vegetables or overcooks their vegetables
  • Pregnancy
  • Hemolysis, psoriasis, or any other disease with high cell production and turnover
  • Phenytoin, which accelerates folate metabolism and contributes to deficiency
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4
Q

Opioid agonists that can be used for managing opioid withdrawal

A
  • methadone
  • buprenorphine
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5
Q

Charcoal does not bind to some substances

A
  • Pesticides
  • Heavy metals
  • Acid/alkali/alcohol
  • Iron
  • Lithium
  • Solvents

(mnemonic: PHAILS)

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6
Q

Medications to avoid in the setting of cocaine use

A
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7
Q

Agents for which alkaline diuresis may enhance elimination

A
  • Salicylates
  • Methotrexate
  • Barbiturates
  • Phenobarbital
  • Sulfonamides
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8
Q

Drugs that can be cleared with haemodialysis

A

Drugs that can be cleared with haemodialysis

mnemonic: C BLAST

  • Carbamazepine
  • Barbiturate
  • Lithium
  • Alcohol, Atenolol
  • Salicylates, sodium valproate
  • Theophyllines (charcoal haemoperfusion is preferable)
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9
Q

Drugs which cannot be cleared with haemodialysis

A

Drugs which cannot be cleared with haemodialysis

  • tricyclics
  • benzodiazepines
  • dextropropoxyphene (Co-proxamol)
  • digoxin
  • beta-blockers
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