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Toxicology
| Opiates: examples | morphine, codeine |
| Opiates and Opoids: signs and symptoms | Hypoventilation or respiratory arrest Pinpoint pupils Sedation or coma Hypotension |
| Opioids: examples | Heroin Fentanyl Methadone Oxycodone |
| Sympathomimetics: Examples | Mephedrone Cocaine Methamphetamine |
| Sympathomimetics | Hypertension Tachycardia Dilated pupils Agitation or seizures Hyperthermia |
| Sedative-hypnotics: Examples | Diazepam Secobarbital Temazepam Midazolam |
| Sedative-hypnotics: Signs and symptoms | Slurred speech Sedation or coma Hypoventilation Hypotension |
| Anticholinergics: Examples | Atropine, diphenhydramine, chlorpheniramine, doxylamine, Datura stramonium (jimsonweed) |
| Anticholinergics: Signs and Symptoms | Tachycardia, hyperthermia, hypertension, dilated pupil, dry skin and mucous membranes, sedation, agitation, seizures, coma, or delirium, decreased bowel sounds |
| Cholinergics: Examples | organophosphates, pilocarpine, nerve gas |
| Cholinergics: Signs and Symptoms | Airway compromise SLUDGEM - Salivation, sweating - Lacrimation (excessive tearing of the eyes) - Urination - Defecation, drooling, diarrhea - Gastric upset and cramps - Emesis (vomiting) - Muscle twitching/miosis (pinpoint pupils) |
| What questions can you ask the patients? | What substance did you take, when did you take it, how much did you take, did you eat or drink before or after taking it, have you been given an antidote or other substance following, how much do you weigh? |
| What are signs and symptoms of absorbed and surface contact poisons | History of exposure, liquid or powder on a patient's skin, burns, itching, irritation, redness of skin, typical odors of the substance |
| How do you treat dry powder or liquid | Brush of the powder and flood the area with water for 15-20 minutes, then wash skin with soap and water Flood liquid for 15-20 minutes |