Toxins #2

Question 1

Ethylene glycol treatment

Answer 1

IV ethanol drip, fomeprizole, thiamine, pyridoxine

Question 2

Cocaine

Answer 2

Inhibits reuptake of NE and dopamine

• avoid beta blockers
• Benzos for anxiety

Question 3

Naloxe and pulmonary edema

Answer 3

Negative pressure induced pulmonary edema

Tongue in airway, naloxone given, pt draws huge breath but cannot with tongue blocking.

Question 4

Cyanide

Answer 4

Amyl nitrate, Na thiosulfate

-jewelry shop, cyanide used to separate heavy metal

Question 5

Methemoglobinemia (metHg)

Answer 5

Methylene blue

Question 6

Cyanide conversion when treated

Answer 6

Cnversion to methemoglobinemia.. Treatment with methylene blue May be required.

Question 7

Anticholinergics OD

Answer 7

Atropine, jimmsen weed

Mad Asa hader (ALOC), red as a bee (flush skin), dry as a bone, blind as a bat (pupil dilation.

Question 8

Anticholinergic antidote

Answer 8

Physostigmine (eserine)

Question 9

Heparin antidote

Answer 9

Protamime sulfate (whale sperm) beware anaphylaxis

Question 10

Ethylene Glycol / Methanol OD

Answer 10

• Antifreeze
• man down, unknown why, Florescence on skin.
• profound anion gap, osmolar gap, nystagmus / blindness
• depressed DTRs, stupor, coma, convulsions, hypothermia, hypocalcemia