Toxicology causes CC Flashcards

1
Q

Charcoal does not bind to some substances

A

mnemonic: PHAILS

  • Pesticides
  • Heavy metals
  • Acid/alkali/alcohol
  • Iron
  • Lithium
  • Solvents
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2
Q

Toxins amenable to multiple dose-activated charcoal (MDAC)

A
  • Carbamazepine
  • Dapsone
  • Phenobarbital
  • Quinine
  • Theophylline
  • Yellow oleander
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3
Q

Causes of an elevated osmolal gap

A

With normal anion gap:

  • Isopropanol,
  • Acetone,
  • Mannitol,
  • Diethyl ether

With elevated anion gap:

  • Methanol,
  • Ethylene glycol,
  • Formaldehyde,
  • Paraldehyde
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4
Q

Drugs that can be cleared with hemodialysis

A
  • Alcohol, Atenolol
  • Barbiturate (phenobarbital)
  • Carbamazepine
  • Lithium
  • Phenytoin
  • Salicylates, sodium valproate
  • Theophyllines (charcoal haemoperfusion is preferable)

Link

MCQs

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5
Q

Drugs which cannot be cleared with hemodialysis

A
  • Benzodiazepines
  • Beta-blockers
  • Dextropropoxyphene (Co-proxamol)
  • Digoxin
  • Tricyclics

Hint: all have antidotes

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