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Question | Answer |
---|---|
What prophylactic vaccine should be given to a spider bite victim? | Tetanus toxoid |
If spider bite leads to a necrotic center, give 5-7days of __________. Which ABx should also be considered (except in cases of G6PD def)? | corticosteroids; dapsone |
What ABx should be given if spider bite shows signs of infection? | Erythromycin |
Antivenom for a spider bite should be given ideally within _______ minutes | 30 |
Calcium gluconate is given in black widow bites for __________ relief | muscle pain |
Pancreatitis can be caused by _______ bites | scorpion |
Which animal bite wounds should be sutured: face or hand? | hand is left open, face is sutured (less infxn risk on face) |
Clindamycin + 1 of which 2 drugs can be given for dog/cat bites that are infected? | fluoroquinolone or bactrim |
Tetanus booster is given every ____ years | 10 years |
What is the antidote for: Acetaminophen, Salicylates, Anticholinesterases/organophosphates | N-acetylcysteine, (charcoal, dialysis, sodium bicarb), atropine + pralidoxime |
What is the antidote for: Antimuscarninics/anticholinergics | physostigmine |
What is the antidote for B blockers (or verapamil) | Glucagon, Insulin + Glc, Ca2+ |
What is the antidote for digoxin, Iron, Lead | anti-dig FABs, Deferoxamine, (demercoprol, EDTA, succimer) |
What is the antidote for Mercury, Copper, Methemoglobin | Demercaprol, penicillamine, meth blue |
What is the antidote for Cyanide, CO, Opioids? | (thiosulfate, nitroprusside, NG), pure O2, nalexone/naltrexone |
What is the antidote for benzodiazepines, TCAs, Heparin? | flumazenil, (sodium bicarb, diazepam), protamine |
What is the antidote of Warfarin, Isoniazid, Sulfonylureas? | (vit K, FFP), B6, (octeotride, dextrose) |
DUMBELS (leaky) is a sign of ____________ poisoning | organophosphate |
Why do you give sodium bicarb for methanol or ethylene glycol ingestion? | to correct acidosis |
What drug do you give in cases of methanol / ethylene glycol poisoning? if this Rx is not available, whats the next best option? | fomepazole, ethanol |
5 phases of iron poisoning in a toddler? | GI phase (abd pain/diarrhea/vomit), Latent phase, Shock/met acidosis, Hepatic necrosis, Bowel obstruction (from scarring, 2-8wks later) |
In methanol poison, what is the next step if organ damage is suspected? | dialysis |
schizo pt comes with plumbing sollution (alkali), what is next steps? | ABCs, no antiemetics or NG tube!, endoscopy to assess injury. If minor, discharge. If significant, treat/admit. |
almond scented breath implies ___________________ | cyanide poisoning |
Cyanide damage to the brain (late complication) can cause what? | Parkinsonism (damage to basal ganglia) |
________________ indicates level of digoxin toxicity. | hyperkalemia |
What 2 EKG changes occur in digoxin overdose | prolonged PR, scooping ST segments |
What can you give before anti-dig FABs for digoxin OD treatment? | activated charcoal |
What should be avoided in digoxin OD since it may cause worsening hyperkalemia | calcium |
What is the Rx for bradycardia due to digoxin OD? | atropine |
__________ and __________ is often a common presenting complaint for aspirin OD | tinnitus, hyperthermia |
type of alkalosis/acidosis in aspirin OD? | mixed resp alkalosis (hyperventilation) and met acidosis |
Too much warfarin in pt, INR <5. Next step? | skip next dose, lower overall dosage |
Too much warfarin in pt, INR 5-9. Next step? | skip next 2 doses, monitor INR, and when in a good range, continue with lower dosages |
Too much warfarin in pt, INR 9+. Next step? | hold all warfarin dosaging until INR is back to normal. Give vit K orally once, then as needed. warfarin dose is lowered once restared |
Too much warfarin in pt, bleeding heavily. Next step? | vit K slow IV, FFP, monitor INR and give FFP as needed. NO WARFARIN |