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Toxicomanie Et Toxidromes > Toxidromes > Flashcards

Toxidromes Flashcards

1
Q 
Anticholinergique
SV:
Peau:
GI/GU:
Psy:
Réflexes, MSK:
Pupilles:
Substances:
A

Anticholinergique: Ach = parasympathique, donc hyper symp.

SV: Hausse de TA, FC, fièvre
Peau: flushing et sèche
GI/GU: Iléus (rétention urinaire)
Psy: délirium
Réflexes, MSK: vifs
Pupilles: Mydriase
Substances: Atropine, ANTIPSYCHOTIQUES, TCA, Anti-H, Anti-parkinsoniens
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2
Q 
Cholinergique
SV:
Peau:
GI:
Psy:
Réflexes, MSK:
Pupilles:
Substances:
A 
Cholinergique
SV: Bradycardie
Peau: Moite
GI: Diarrhée, sialorrhée
Psy: 
Réflexes, MSK:
Pupilles: Myosis
Substances: Organophosphates
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3
Q 
Sympathomimétique
SV:
Peau:
GI:
Psy:
Réflexes, MSK:
Pupilles:
Substances:
A 
Sypathomimétique
SV: Fièvre, tachycardie, hypertension
Peau: Diaphorèse
GI: 
Psy:Agitation, convulsion
Réflexes, MSK: 
Pupilles: Mydriase
Substances: Amphet, cocaine, PCP, LSD, sels de bain, caféine
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4
Q 
Sédatif
SV:
Peau:
GI:
Psy:
Réflexes, MSK:
Pupilles:
Substances:
A 
Sédatif (mu / GABA)
SV: bradypnée
Peau:sèche
GI:
Psy: AEC
Réflexes, MSK:
Pupilles: Myosis si opiacés
Substances: Opiacés, ROH, benzo
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5
Q 
Sérotoninergiques
SV:
Peau:
GI:
Psy:
 MSK:
Pupilles:
Substances:
A 
Sérotoninergiques
SV: Fièvre, HTA, tachycardie, INSTABLE
Peau: flushing,diaphorèse
GI: Diarrhée, vomissements, douleur abdo
Psy: confusion, anxiété, agitation
Neuromuscular hyperactivity: hyperréflexie, myoclonies, tremblements
Pupilles: N
Substances: ISRS, INRS, IMAO, mépéridine, millepertuis
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6
Q 
Syndrome neuroleptique malin
SV:
Peau:
GI:
Psy:
Réflexes, MSK:
Pupilles:
Substances:
A 
Syndrome neuroleptique malin
SV: fièvre, Instabilité sna
Peau: Diaphorèse, paleur
GI:
Psy: Délirium, aec
Réflexes, MSK: rigidité, bradykinésie
Pupilles: N
Substances: Antipsychotiques atypiques
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7
Q 
PEAU
Diaphorèse
sèche
Flushing diaphorèse
Flushing sèche
A 
PEAU
Diaphorèse: Cholinergique, sympathomimétique, SNM
sèche: Sédatif
Flushing diaphorèse: Sérotoninergique
Flushing sèche: Anticholinergique
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8
Q

ISRS, INRS, IMAO, mépéridine, millepertuis

A

Sérotoninergique

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9
Q

Amphet, cocaine, PCP, LSD, sels de bain, caféine

A

Sympathomimétiques

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10
Q

Atropine, anti-psychotiques, TCA, Anti-H, Anti-parkinsonien

A

Anticholinergiques

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11
Q

Organophosphate

A

Cholinergique

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12
Q 
Intox au Lithium
FR
SV
PSY
MSK
CARDIO
RENAL
Neuro
GI
A 
FR: personne âgée,  canicule/ deshydratation, AINS, HCTZ, IECA, déshydratation, diète hypospdée (augmentent sa concentration!!)
SV: bradycardie
Psy: Syndrome cérébral organique
MSK: tremblements grossiers, myoclonies
Cardio: dysfonction NS, arythmie
Rénal: ira
Neuro convulsion, somnolence, ataxie
GI no vo
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13
Q

Sx d’allure grippale, insomnie, no vo, hallucinations, anxiété

A

Sevrage d’ISRS

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14
Q

Intox carbamazepine

A

Rash, Instabilité autonomique, pancytopenie, depression respiratoire

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15
Q

Intox clozapine

A

AEC, confusion, agitation, hyperreflexie, convulsion, vision trouble, thermolabilite, tachycardie, hypotension, mydriase, arythmies ou blcs, depression respiratoire, delire/ hallucinations, SEP

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16
Q

Rash, DRS

A

Lamotrigine

17
Q

AEC, agitation, hyperreflexie, convulsion, vision trouble, thermolabilite, tachycardie, hypotension, mydriase, arythmies ou blcs, depression respiratoire, delire/ hallucinations, SEP

A

Intox clozapine

18
Q

Hypotension, tachycardie
Arrythmies dont tachycardies sinusales avec bloc de branche, entre autres
Convulsions, hallucinations, AEC
No Vo

A

Intox tricycliques (anticholinergique)

19
Q

2 substances pouvant causer un Nystagmus

A

PCP (rotatoire)

LSD

20
Q

Intox PCP (phencyclidine, angel dust)

A 
tachycardie, HTA
Violence
Confusion, désorientation, somnolence, amnésie
Bizzare behavior
Sx psychotiques
Miosis, regard vide
21
Q

Inhalants:
Liste de produits
4 sx d’intox

A

Vernis à ongles, solvants, insecticides

No, epistaxis, céphalées, lipothymie

Toxicomanie Et Toxidromes (2 decks)

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