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ER, ICU, Surgery 4

Toxicology Part 2

What is the most sensitive test for MS? MRI brain (head and orbits). Remember, though, that MS is a clinical diagnosis.
What type of bite/sting can rearly cause acute pancreatitis? Scorpion
What is the tx for a scorpion bite? Antivenin, atropine (counteracts cholinergic fx of venom), and phenobarbital
Name 3 organisms responsible for infection in mammalian bites. Staph, Pasturella multocida, and rabies virus
Do all pts with alkali fluid ingestion require hospitalization? Nope! If they have little or no injury, you can d/c them and have them f/u outpt. You ain't got to go home, but you got to get the hell outta here!
What are the s/s of organophosphate poisoning? DUMBBELSS: diarrhea, urination, miosis, bronchospasm, bradycardia, emesis and excitation of skeletal m, lacrimation, sweating, salivation, and abdominal cramping. Leaky stuff!
What complication of iron poisoning can be seen 2-8 weeks after ingestion? Bowel obstruction (GI scarring at gastric outlet; vomiting is presenting sx)
What is the tx for lead poisoining in adults? In kids? Adults: EDTA or succimer. Kids: dimercaprol or EDTA.
What is the next step in the mgmt of a pt that presents to the ER with organophosphate poisoning? Remove clothes (the pts, not yours). Gown and glove up. Give atropine and pralidoxine.
What classic toxic ingestion mgmt options should not be chosen in pts presenting with alkaline fluid ingestion? NG tube, anti-emetic, or neutralizing agents
A COPD pt comes to the ER with tachycardia and hypotension. During the evaluation, he begins to have seizures. What is the most likely etiology? Theophylline toxicity
Name my antidote!: arsenic dimercaprol, succimer, penicillamine
Name my antidote!: anticholinesterases, organophosphates atropine, pralidoxime
Name my antidote!: carbon monoxide (cherry red lips) 100% O2, hyperbaric O2
Name my antidote!: copper penicillamine
Name my antidote!: iron deferoxamine
Name my antidote!: mercury diMERCaprol
Name my antidote!: t-pa aminocaproic acid
Name my antidote!: acetaminophen n-acetylcysteine
Name my antidote!: anticholinergics (atropine) physostigmine
Name my antidote!: benzos flumazenil
Name my antidote!: beta blockers glucagon, calcium, insulin, dextrose, atropine
Name my antidote!: CCBs almost same as beta blockers: glucagon, calcium, insulin, dextrose
Name my antidote!: cocaine supportive care, benzos, ccbs
Name my antidote!: cyanide nitrates, hyroxocobalamin
Name my antidote!: caustics (acids, alkali) Copius irrigation, activated charcoal (NO antiemetics or neutralizers!)
Name my antidote!: ethylene glycol (antifreeze) ethanol, dialysis
Created by: sarah3148



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