Toxidromes

Question 1

opiate/narcotic

Answer 1

coma, respiratory depression, pinpoint pupils, blocked pain reception

Question 2

cholinergic

Answer 2

salivation, lacrimation, urination, defecation, gastric cramps, emesis, killer Bs (bradycardia, bronchoconstriction, bronchorrhea)

Question 3

anticholinergic

Answer 3

fever, ileus, flushing, tachycardia, urinary retention, myoclonus, hallucinations

(hot as a hare, red as a beet, dry as a bone, blind as a bat, mad as a hatter)

Question 4

sympathomimetic (stimulant)

Answer 4

hypertension, tachycardia, increased temperature, dilated pupils, anxiety

Question 5

sedative-hypnotic

Answer 5

confusion/coma, respiratory depression, hypotension, decreased temperature,
variable pupillary changes

Question 6

withdrawal

Answer 6

tachycardia, dilated pupils, diarrhea, abdominal cramps, piloerection

dep. on drug

Question 7

marijuana

Answer 7

psychological: anxiety/panic, anterograde amnesia, psychosis
medical: tachycardia, red eyes, dry mouth, impaired motor control

doses higher than 20mg –> intoxication possible, especially 1st time users

Question 8

opioid w/d

Answer 8

insomnia, nausea, abd cramps, muscle/joint aches, low-grade temperature, tachycardia