Toxicology

Question 1

What toxicity can Nitroprusside give you?

Answer 1

Cyanide Toxicity

Question 2

Mercury Poisoning treatment?

Answer 2

Chelation with dimercaperol, penicillamine

Question 3

Cyanide Poisoning: Sx and Tx?

Answer 3

Breath of bitter almonds, metabolic acidosis

Tx with Amyl Nitrite AND Thiosulfate
House fires, nitroprusside

Question 4

Lead Poisoning: Sx and Tx?

Answer 4

Neuropathy, renal failure, microcytic anemia. 5mg/dl=toxic level

Tx: Chelate with EDTA, Succimer or Dimercaprol

Question 5

Arsenic Poisoning: Sx and Tx?

Answer 5

Garlic breath, HA, diarrhea , and pain

Tx: Chelate with Succimer or Dimercaperol

Question 6

Salicylate toxicity presentation?

Answer 6

Resp. alkalosis and metabolic acidosis, hyperthermia, tinnitus. N/V, AMS

Question 7

Tx of salicylate toxicity?

Answer 7

If not yet digested, activated charcoal. Use sodium bicarb

Question 8

Symptoms and tx of milk-alkali syndrome?

Answer 8

Hypercalcemia, short QT, acute renal failure. Can tx with loop diuretics or dialysis.

Question 9

Methanol or Ethylene glycol poisoning tx?

Answer 9

Fomepizole

Question 10

Methanol poisoning symptoms?

Answer 10

Sedation, inebriation. Late damage to retina and basal ganglia

Question 11

TCA OD Sx and tx?

Answer 11

Symptoms: Anti-cholinergic (dry, hot, mad)
Tx: Na Bicarb

Question 12

Mg SO4 toxicity presentation & Tx?

Answer 12

Tox: decreased DTR’s respiratory distress, hyperkalemia
Tx: Ca gluconate