Toxicology CPGs Flashcards
1
Q
Managment of carbon monoxide poisoning?
A
HFO2 Vascular access Obtain CO reading (FR) Utilize rainbow probe Manage Seizures
Consider D10w as prophylactic tx as intracellular glucose may be decreased even in the presence of normal BGL reading
Consider concurrent cyanide posining
Speciality transport destination
2
Q
Antidote for cyanide poisoning
A
Hydroxycobalamine
3
Q
ACP tx for cyanide tox
A
Tx hypotension
-push dose epi if refractory to fluid
Manage seizures
4
Q
ACP tx for hydrogen sulfide
A
Staged approach to ABC
Manage Seizures
5
Q
ACP tx for organophosphate tox
A
- Manage Seizures
- Manage Arrythmia and chest pain as per cpg
- Consider mag sulphate for VT (LQT)
- Atropine (double dose every 5 minutes until desired effect)
6
Q
ACP tx for Beta-Blocker Toxicity
A
- 12-lead ECG
- Tx bradycardia as per CPG (TCP may be ineffective)
- Manage Seizures
- ETI
-Consider Glucagon 5mg
Consider in WCT/Ventricular Rhythms
- Calcium
- Bicarb
- Mag sulf
- Epi infusion in consult with clinicall. High dose might be needed.
7
Q
ACP Tx for TCA OD
A
- 12 lead ECG
- Bicarb for QRS narrowing
- Push dose epi for refractory hypotension
- Consider Mag sulf in CA
8
Q
ACP tx for Calcium channel blocker tox
A
- Atropine may be highly effective
- Tx bradycardia as per CPG
- Calcium 1-2g (call clinicall)
- Push dose epi for refractory hypotension after calcium
9
Q
ACP tx for acetiminophen tox
A
Supportive care
