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Toxicology
Toxidromes, symptoms, and treatment
| Question | Answer |
|---|---|
| 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 |