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Toxicology

Toxidromes, symptoms, and treatment

QuestionAnswer
S of SLUDGEM Salivation/Sweating
L of SLUDGEM Lacrimation
U of SLUDGEM Urination
D of SLUDGEM Diarrhea/Defecation/Drooling
G of SLUDGEM Gastric upset + cramping
E of SLUDGEM Emesis
M of SLUDGEM Miosis/Muscle twitching
Miosis Pinpoint pupils
Mydriasis Dilated pupils
D of DUMBELS Diarrhea/Defecation/Drooling
U of DUMBELS Urination
M of DUMBELS Miosis/Muscle twitching
B of DUMBELS Bradycardia
E of DUMBELS Emesis
L of DUMBELS Lacrimation
S of DUMBELS Salivation/Sweating
Lacrimation Excessive teary/watery eyes (almost looks like crying)
What acronyms are used for cholinergic toxidromes? SLUDGEM or DUMBELS
Polypharmacy Taking multiple medications at the same time
Delirium tremens Severe withdrawal symptom of alcohol, characterized by tremors, AMS
Opioid Type of drug that reduces brain's natural drive to breathe
Naloxone Given for opioid overdoses
Overdose Condition when an excessive amount of a drug has been taken
Hypnotic Type of drug that has a sleep-inducing effect
Hallucinogen Type of drug that produces false perceptions of reality
Stimulant Type of drug that produces an excited state
What population is most likely to have polypharmacy? Geriatrics
What is an acronym used to assess for reasons of AMS? STOPEAT
What is an acronym used to assess for reasons of AMS? AEIOUTIPS
S of STOPEAT Stroke, seizure, syncope, sugar, sepsis
T of STOPEAT Trauma, toxins
O of STOPEAT Oxygen
P of STOPEAT Pressure
E of STOPEAT Electricity
A of STOPEAT Alcohol, Altitude, Anxiety
T of STOPEAT Temperature
What does decon mean? Decontamination
When does decon happen? BEFORE transporting
Who needs to be called for toxicology patients? Hazmat and/or poison control
Synthetic Cathiones Bath salts
THC Tetrahydrocannabinol
Common name for cannabis Weed
Methods of intoxication for cannabis Ingestion and inhalation
4 methods of intoxication/exposure of drugs Injection, absorption, ingestion, and inhalation
HH Hillbilly Heroin
Common opioids Fentanyl, hydrocodone, oxycodone, morphine, codeine, hydromorphone, tramadol, etc
Medications used to treat opioid use disorder Suboxone, Methadone, Buprenorphine
Common anticholinergic drugs Tricyclic SSRIs, antihistamines like Benadryl, some antipsychotic medications, atropine, jimsonweed, etc
SSRI Selective Serotonin Reuptake Inhibitor (used to treat depression and/or anxiety)
Common cholinergic drugs Nerve agents, organophosphate insecticides, chemical warfare, etc
 

 



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