Toxicology Flashcards

1
Q

What is given if beta blocker intoxication?

A

Glucagon

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2
Q

What is given in ethylene glycol ingestion?

A

Fomepizole; inhibits alcohol dehydrogenase which inhibits conversion of ethylene glycol to oxalic acid and glycolic acid

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3
Q

How does cyanide toxicity present?

A

Flushing, headache, AMS, seizures, coma, arrhythmias, tachypnea then resp depression, pulm edema, GI sxs, metabolic acidosis, renal failure

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4
Q

What must you worry about when infusing sodium nitroprusside?

A

Cyanide accumulation

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5
Q

How do you treat cyanide toxicity?

A

Sodium thiosulfate

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6
Q

Presentation of arsenic poisoning

A

Acute: Garlic breath, vomiting, diarrhea, QTc prolongation. Chronic: Hypo/hyperpigmentation, hyperkeratosis, stocking glove neuropathy.

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7
Q

Treatment of arsenic poisoning

A

Dimercaprol, DMSA

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8
Q

Presentation of lead poisoning

A

Stocking glove neuropathy, anemia, GI complaints

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9
Q

Treatment of lead poisoning

A

dd

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10
Q

Treatment of TCA poisoning

A

Sodium bicarb

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11
Q

Treatment of aspirin poisoning

A

Sodium bicarb

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12
Q

Presentation of aspirin poisoning

A

dd

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13
Q

Presentation of lithium poisoning

A

dd

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14
Q

Treatment of lithium poisoning

A

Hemodialysis

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15
Q

Treatment of iron poisoning

A

Defuroxine

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16
Q

Presentation of iron poisoning

A

Nausea, vomiting, green diarrhea, possibly hemorrhagic diarrhea, hypovolemic shock. Later findings are lactic acidosis, hepatotoxicity, and organ failure.

17
Q

Presentation of acetaminophen poisoning

A

Nausea, vomiting, hepatic toxicity.

18
Q

Treatment of acetaminophen poisoning

A

N-acetylcysteine