Toxicology Flashcards
Organophosphate antidote
Atropine
Pralidoxime specific to organophosphate
Opiate antidote
Naloxone
Benzodiazepine antidote
Flumanezil
Paracetamol antidote
N-acetylcysteine
How does N-acetylcysteine work
Repletes glutathione which is required to convert paracetamol into an inactive metabolite
Complication of TCA toxicity
Prolonged QRS causing VT/VF
Anticholinergic Toxicity
Hot as a hare, mad as a hatter, dry as a bone, blind as a bat (dilated pupils), red as a beet, the bowel and bladder lose their tone and the heart runs alone (Tachy)
Anticholinergic Agents
antihistamines, antipsychotics, antidepressants, antiparkinsonians, atropine
Cholinergic Toxicity
SLUDGE
Salivation, Lacrimation, Urinary Incontinence, Diarrhoea, GI cramps, Emesis
pin point pupils
Cholinergic Agents
Organophosphates, carbamates
Sympathomimetic Toxicity
Tachycardia, tachypnoea, hyperthermia, dilated pupils, diaphoresis
Sympathomimetic Agents
Caffeine, cocaine, amphetamines/meth, Ritalin, MDMA, LSD