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Toxicology > Treatment > Flashcards

Treatment Flashcards

1
Q

Lead

A

WBI, if specs found 1 to 2 L/h for adults; 25-40ml/kg/h for children

Without Encephalopathy:

1) Succimer 10mg/kg q 8 h x 5 days, then 10mg/kg q 12 h x 14 days or,
2) dimercaprol 50mg/m2 IM q 4 h plus EDTA 1000mg/m2 qd x 5 days

With Encephalopathy:

Dimercaprol 75mg/m2 IM q 4 h and edta 1000 - 1500mg/m2 qd x 5 days

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2
Q

Acetaminophen

A

NAC

150mg/kg over 60 minutes,
50mg/kg over 4 hours
100mg/kg over 16 hours

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3
Q

Salicylates

A

Sodium Bicarbonate

1 to 2 meq/kg bolus followed by continuous infusion 2 to 3 amps of nabicarb in 1L of D5W

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4
Q

Opioid Withdrawl

A

Low Dose Methadone

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5
Q

Mold

A

Push Fluids to prevent any dehydration due to GI symptoms

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6
Q

Calcium Soaks used for

A

Hydrofluoric Acid
Oxalic Acid

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7
Q

Phenols

A

Mineral Oil
Isopropyl alcohol
Polyethylene Glycol

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8
Q

White Phosphorus

A

Copper Sulfate 1%

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9
Q

Carbamazepine

A

Repeat Dose Charcoal; Hemodiaylysis

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10
Q

Carboxyhemoglobin

A

100% oxygen; hyperbaric oxygen

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11
Q

Digoxin

A

Digoxin specific antibodies

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12
Q

Ethylene Glycol

A

Ethanol or Fomepizole; hemodialysis

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13
Q

Iron

A

Deforaxmine

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14
Q

Lithium

A

Hemodialysis

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15
Q

Methanol

A

Ethanol or Fomepizole therapy; hemodialysis

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16
Q

Methemglobin

A

Methylene blue

17
Q

Salicylate

A

Alkalinization
Hemodialysis

18
Q

Theophylline

A

Repeat dose charcoal
Hemodialysis

19
Q

Agents POORLY adsorbed by Activated Charcoal

A

Alkali
Cyanide
Ethanol and other alcohols, Ethylene Glycol
Fluoride
Heavy Metals
Hydrocarbons
Inorganic Salts
Iron
Lithium
Mineral Acids
Potassium

20
Q

Drugs removed by REPEAT DOSE activated charcoal

A

Caffeine, Carbamazepine, Chlordecone
Dapsone, Digitoxin
Nadolol
Phenobarbital, Phenylbutazone, Phenytoin
Quinine
Salicylate
Theophylline

Toxicology (8 decks)

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