Busy. Please wait.
or

show password
Forgot Password?

Don't have an account?  Sign up 
or

Username is available taken
show password

why


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
We do not share your email address with others. It is only used to allow you to reset your password. For details read our Privacy Policy and Terms of Service.


Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
Don't know
Know
remaining cards
Save
0:01
To flip the current card, click it or press the Spacebar key.  To move the current card to one of the three colored boxes, click on the box.  You may also press the UP ARROW key to move the card to the "Know" box, the DOWN ARROW key to move the card to the "Don't know" box, or the RIGHT ARROW key to move the card to the Remaining box.  You may also click on the card displayed in any of the three boxes to bring that card back to the center.

Pass complete!

"Know" box contains:
Time elapsed:
Retries:
restart all cards
share
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

Pharm - ABIM

Toxidromes

QuestionAnswer
What did the patient take if Patient shows up with hypertension, tachycardia, fever, diaphoresis, mydriasis, rhabdomyolysis? What do you treat with? Sympathomimetic intoxication (Cocaine, methamphetamine, pseudoephedrine). Treat with benzodiazepines.
What toxidromes present with fever, tachycardia, hypertension, mydriasis, increased respiratory rate? How can you tell the difference between these toxidromes? Sympathomimetic and anticholinergic. Sympathomimetic has moist skin. Anticholinergic has dry skin.
Which toxidrome presents with low body temperature, bradycardia, hypotension and miosis? How do you tell the difference between the toxidromes? Opioid and cholinergic intoxication. Opioid intoxication has very low respiratory rate. It is a respiratory depressant. Opioid intoxication skin is very dry, whereas cholinergic intoxication has moist skin.
Name some examples of sympathomimetic substances Cocaine, methamphetamines, pseudo ephedrine
Name some examples of anti-cholinergic substances Diphenhydramine, tricyclic antidepressants, pralidoxime (antidote to organophosphate poisoning), atropine , quetiapine
Name some examples of cholinergic substances Nerve agents, physostigmine, organophosphates
Which toxidromes give you miosis? Opioid and cholinergic
Which toxidromes give you dry skin? Opioid and anti-cholinergic
Which toxidromes give you moist skin? Sympathomimetic and cholinergic
Which toxidromes give you mydriasis? Sympathomimetic and anti-cholinergic
Describe the Sympathomimetic toxidrome in relation to temperature, heart rate, blood pressure, respiratory rate, skin, eyes. Sympathomimetic: fever, tachycardia, hypertension, tachypnea, moist skin, dilated pupils
Describe the opioid toxidrome in relation to temperature, heart rate, blood pressure, respiratory rate, skin, eyes. Opioid: decreased temperature, bradycardia, hypotension, significantly depressed respiratory rate, dry skin, miosis.
Describe the anti-cholinergic toxidrome in relation to temperature, heart rate, blood pressure, respiratory rate, skin, eyes. anti-cholinergic: fever, tachycardia, hypertension, tachypnea, dry skin, dilated pupils
Describe the cholinergic toxidrome in relation to temperature, heart rate, blood pressure, respiratory rate, skin, eyes. cholinergic: decreased temperature, bradycardia, hypotension, decreased respiratory rate, moist skin, small pupils. SLUDGE. Salivation, lacrimation, urination, diaphoresis, G.I. motility, Emesis.
When can you use activated charcoal? If patient is within 1 to 2 hours of the time of ingestion, and the patient does not have risk of aspiration.
Created by: christinapham