Toxidromes

Question 1

Anitcholengeric OD symptoms

Answer 1

-increased HR
-Fever
-Dilated pupils
-absent bowel sounds
-dry skin

Question 2

Cholenergic OD symptoms

Answer 2

-pinpoint pupils
-loud bowels
-sweaty

Question 3

Opioid OD symptoms

Answer 3

-Bradycardia
-decreased RR
-hypothermia
-pinpoint pupils
-absent bowel sounds
-Dry skin

Question 4

Sympathomimetic OD symptoms

Answer 4

-increased HR
Increased RR
Fever
Dilated pupils
Bowel sounds
Sweaty

Question 5

Sedative hypnotic OD symptoms

Answer 5

-Bradycardia
-decreased RR
-cold
-absent bowel sounds
-dry skin

Question 6

Signs and symptoms of a weed OD

Answer 6

Euphoria
Drowsiness
Decreased short term memory
Diminished motor coordination
Increased appetite
Bloodshot eyes

Question 7

Narcotic examples

Answer 7

-morphine
-codiene
Heroin
Fentanyl
Hydrocodone
Oxycodone

Question 8

Symptoms of narcotic OD

Answer 8

-euphoria
-hypotension
-respiratory depression
Pinpoint pupils

Question 9

Management of narcotic/opioid OD

Answer 9

-ABC’s
-0.4-2mg of naloxone

Question 10

Stimulant OD symptoms

Answer 10

-psychosis
-Hyperpyrexia
-tremors
-seizures
-cardiac arrest

Question 11

Cocaine OD

Answer 11

In addition to stimulant OD symptoms:
-lethal ECG rhythms
-AMI
Seizure
Stroke
Apnea
Hyperthermia
Pneumothorax
Pneumomedistinum
Widened QRS and QT prolongation

Question 12

PCP OD

Answer 12

-slurred speech
-staggering gait
-tachycardia
-hypertension
-staring blankly
Horizontal nystagmus
Muscle rigidity and grinding teeth

Question 13

Sodium channel OD

Answer 13

-myocardial depression
-impaired conduction
-decreased contractility

Question 14

Sodium Channel OD treatment

Answer 14

-Sodium Bicarbonate to treat QT prolongation, bradycardia and hypotension

Question 15

Beta blocker OD symptoms

Answer 15

-hypotension
-bradycardia
-dizziness
-syncope
-AMS
-hypoglycemia
-hypokalemia
-bronchospasm

Question 16

Beta blocker OD treatment

Answer 16

IV glucagon

Question 17

Potassium channel blocker OD symptoms

Answer 17

-Hypotension
-Bradycardia
-ventricular dysrhythmias

Question 18

Calcium blocker OD

Answer 18

-low HR
-decreased contractility
-vasodilation
-hyperglycaemia
-N/V
-AMS
-Metabolic Acidosis

Question 19

Calcium channel OD treatment

Answer 19

Calcium chloride / calcium gluconate

Question 20

Barbiturate OD symptoms

Answer 20

-Drowsiness
-Decreased inhibitions
-Ataxia
-Mental confusion
Staggering gait
Increasingly lethargic
Increasingly lower level of responsiveness

Question 21

Barbiturate OD treatment

Answer 21

Supportive
For long acting barbiturates admin 1-2meq o sodium bicarbonate

Question 22

Benzodiazepine OD

Answer 22

-AMS
-Drowsiness
-Confusion
-Slurred speech
-Ataxia

Question 23

What is the most common cause of death from a TCA OD

Answer 23

Cardiac dysthymia

Question 24

TCA OD symptoms

Answer 24

-AMS
-Dysrhytmias
-Dry mouth
-blurred vision
-Urinary retention
-constipation
-pulmonary edema

Question 25

Serious TCA OD symptoms

Answer 25

-V-TACH -Hypotension -Respiratory depression -QT prolongation -seizures

Question 26

MOAI OD symptoms

Answer 26

-bradycardia -hypotension -seizures -hyperthermia -pulmonary edema Coma Cardiac arrest

Question 27

Serotonin syndrome

Answer 27

Idiosyncratic response that occasionally occurs with antidepressant therapy

Question 28

Salicylate OD

Answer 28

150mg/kg N/V Vomiting Abdo pain 150-300mg/kg Vomiting Diaphoresis Hypernea Ringing in the ears Pulmonary edema 300mg/kg and up -metabolic acidosis -

Question 29

Antidote of acetaminophen OD

Answer 29

Acetylcystine