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Tox practice
toxpractice
| Question | Answer |
|---|---|
| Acetone breath odor is common with | ASA,isoprophyl alcohol, methyl alcohol |
| Organophosphates exert their effect by | stimulating the cholinergic nervous system |
| most common cause of death with TCA | cardiac dysrythmias |
| Foxglove plant contains what and causes what | cardiac glycoside/dysrhythmias |
| nitrates with sildenafil will cause | sever hypostension |
| OD on ASA tx | sodium bicarb |
| toxic affects on the liver from alcohol are | coagulopathy, hypoglycemia, GI bleeds |
| once in the body 90% of inorganic lead accumalates in | the bone |
| chemical burn | irrigate with water |
| ethylene glycol lethal dose | 0.2ml/kg |
| fieffenbachia plant is reffered to as dumb cane because | ingestion can result in the pt being unable to speak |
| ecg finings for cocaine toxicity | prolongation of the QT interval |
| Percodan causes | resp depression, slow weak pulse, pinpoint pupils |
| exposure to sarin and tabun causes | SLUDGE effects |
| lead poisoning causewhat hematologic problems | anemia |
| unlike effects of cocaine, methamphetamines | last much longer |
| what intervention is influenced by the amount of time that has elapsed with OD tx | gastric lavage |
| Black widow causes | rigid ABD and sever muscle spasms |
| iron toxicity causes | hematemesis |
| lithium toxicity would most likely occur in a pt who is taking | NSAID's |
| delirium tremens begin how many hours after the last alcohol intake | 48-72 |
| brown recluse spider | may not result in immediate symptoms but generally present as painful reddened area with an overlying blister |
| OD on valium TX | flumazenil |
| the toxic chemical in castor beans is | ricin |
| lead poisoning signs | irratability, HTN, abd pain |
| patients with delirium tremens often experience | hallucininations |
| cyanide blocks the utilization of oxygen at the cellular level by | combining with cytochrome oxidase |
| cardiac arrest following narcotic OD is usually the result of | respiratory arrest |
| death from acetaminophen OD is most often caused by | progressive liver failure |
| hyperapnea and tachapnea associated with methyl alcohol intoxication is secondary to | an elevated blood ph |
| the most common and reliable sign of a pit viper envenomation is | rapidly developing edema around the bite area |
| recommended dose of narcan for a unresponsive and hypoventilating pt is | 2mg SIVP until respirations improve |
| crack is a combination of | cocaine, baking soda and water |
| what toxin is most toxic when absorbed through the skin | pesticides |
| most ingested poisons will cause | nausea vomitting |
| first priority when dealing with a pt who may have OD | is to request law enforcement |
| with hyperbaric oxygen therapy, carbon monoxide is typically eliminated from the body within | 15-20 mins |
| Meperidine is a | narcotic |
| patient gone wil needs | IM haloperidol |
| OD on barbituate more than an hour ago TX | activated charcoal |
| arsenic poisoning | metallic taste, explosive diarrhea and skin rash |
| methyl alcohol | also known as wood alcohol and is present in paints, paint remover, windshield washer fluid and varnishes |
| Gamma hydroxybutyrate (GHB) is most commonly used to | faccilitate sexual assault |
| Tricyclic antidepressants | may producce toxic effects with even minimal dosing errors |
| Types of TCA's | aventyl,sinequan,tofranil |
| OD of TCA's s/s | AMS and tachycardia |
| severe salicylate toxicity produces | metabolic acidosis |
| when chlorine gas comes in contact with the bodys m,ucous membranes it forms | hydrochloric acid |
| OD on acetaminophen <24 hrs s/s | malaise, nausea and loss of appetite |
| a sign of severe barbituate withdrawl | hallucinations |
| pts with alcoholism are prone to subdural hematomas and GI bleeding because | their blood clotting mechanisms are impaired |
| Cyanide posioning TX | O2,amyl nitrate, sodium thiosulfate |
| fluid refractory hypotension following barbituate OD is TX with | dopamine |
| unlike acid burns, alkali burns | require longer irrigation with water because alkalis are less water soluble |
| Paroxetine | antidepressant med with the highest safety margin |
| Hymenoptera family of insects includes ___ which usually causes death secondary to | yellow jackets/anaphylaxis |
| most pit viper bites are inflicted by the | rattlesnake |
| early signs of MAOI od include | nstagmus, tachycardia, hyperactivity |
| carboxyhemoglobin | is hemoglobin combined with carbon monoxide |
| a person who is speedballing is | using cocaine in combination with heroin, either by injection them underneath the skin or directly into the vein in order to regulate the high |
| spray paints and lacquer thinner contain__ and typically cause ___ when the are inhaled recreationally | tolunen, hallucinations and mania |
| poisoning with clostridium botulinum | is a result of improper food storage or canning |
| toxicity of carbon monoxise arises from | its affinity for hemoglobin in red blood cells |
| the bioavailabilty and excretion rate of a toxin are influenced most by | the amount of toxin and the relative speed at which it is metabolized |
| when heroin passes thru the liver | it is metabolized into acetyl-morphine which continues to exert narcotic eddects that may outlast the effects of naloxone |
| psychological dependence | the emotional state of craving a drug to maintian a feeling of well being |
| ingested ethylene glycol 6hrs ago presents with | slurred speech and ataxia |
| management for an ingested posion focuses on | neutralizing the posion in the stomach |
| atypical of an alcoholic | chronically pale face and palms |
| venom from a pit viper causes | local tissue necrosis, neuromuscular dysfunction and increased vascular permeability |
| inhaled toxins | quickly reach the alveoli and rapidly gain acess to the circulatory system |
| Pamelor may cause | QRS widening |
| major issue for pts taking MAOI is | they have a high potential for lethal drug interactions |
| TX for a black widow spider | opiods, benzodiazepines, calcium gluconate |
Created by:
rebeccabelleth
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