toxpractice
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| Acetone breath odor is common with | ASA,isoprophyl alcohol, methyl alcohol
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| Organophosphates exert their effect by | stimulating the cholinergic nervous system
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| most common cause of death with TCA | cardiac dysrythmias
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| Foxglove plant contains what and causes what | cardiac glycoside/dysrhythmias
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| nitrates with sildenafil will cause | sever hypostension
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| OD on ASA tx | sodium bicarb
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| toxic affects on the liver from alcohol are | coagulopathy, hypoglycemia, GI bleeds
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| once in the body 90% of inorganic lead accumalates in | the bone
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| chemical burn | irrigate with water
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| ethylene glycol lethal dose | 0.2ml/kg
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| fieffenbachia plant is reffered to as dumb cane because | ingestion can result in the pt being unable to speak
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| ecg finings for cocaine toxicity | prolongation of the QT interval
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| Percodan causes | resp depression, slow weak pulse, pinpoint pupils
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| exposure to sarin and tabun causes | SLUDGE effects
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| lead poisoning causewhat hematologic problems | anemia
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| unlike effects of cocaine, methamphetamines | last much longer
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| what intervention is influenced by the amount of time that has elapsed with OD tx | gastric lavage
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| Black widow causes | rigid ABD and sever muscle spasms
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| iron toxicity causes | hematemesis
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| lithium toxicity would most likely occur in a pt who is taking | NSAID's
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| delirium tremens begin how many hours after the last alcohol intake | 48-72
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| brown recluse spider | may not result in immediate symptoms but generally present as painful reddened area with an overlying blister
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| OD on valium TX | flumazenil
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| the toxic chemical in castor beans is | ricin
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| lead poisoning signs | irratability, HTN, abd pain
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| patients with delirium tremens often experience | hallucininations
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| cyanide blocks the utilization of oxygen at the cellular level by | combining with cytochrome oxidase
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| cardiac arrest following narcotic OD is usually the result of | respiratory arrest
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| death from acetaminophen OD is most often caused by | progressive liver failure
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| hyperapnea and tachapnea associated with methyl alcohol intoxication is secondary to | an elevated blood ph
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| the most common and reliable sign of a pit viper envenomation is | rapidly developing edema around the bite area
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| recommended dose of narcan for a unresponsive and hypoventilating pt is | 2mg SIVP until respirations improve
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| crack is a combination of | cocaine, baking soda and water
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| what toxin is most toxic when absorbed through the skin | pesticides
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| most ingested poisons will cause | nausea vomitting
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| first priority when dealing with a pt who may have OD | is to request law enforcement
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| with hyperbaric oxygen therapy, carbon monoxide is typically eliminated from the body within | 15-20 mins
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| Meperidine is a | narcotic
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| patient gone wil needs | IM haloperidol
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| OD on barbituate more than an hour ago TX | activated charcoal
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| arsenic poisoning | metallic taste, explosive diarrhea and skin rash
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| methyl alcohol | also known as wood alcohol and is present in paints, paint remover, windshield washer fluid and varnishes
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| Gamma hydroxybutyrate (GHB) is most commonly used to | faccilitate sexual assault
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| Tricyclic antidepressants | may producce toxic effects with even minimal dosing errors
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| Types of TCA's | aventyl,sinequan,tofranil
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| OD of TCA's s/s | AMS and tachycardia
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| severe salicylate toxicity produces | metabolic acidosis
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| when chlorine gas comes in contact with the bodys m,ucous membranes it forms | hydrochloric acid
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| OD on acetaminophen <24 hrs s/s | malaise, nausea and loss of appetite
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| a sign of severe barbituate withdrawl | hallucinations
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| pts with alcoholism are prone to subdural hematomas and GI bleeding because | their blood clotting mechanisms are impaired
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| Cyanide posioning TX | O2,amyl nitrate, sodium thiosulfate
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| fluid refractory hypotension following barbituate OD is TX with | dopamine
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| unlike acid burns, alkali burns | require longer irrigation with water because alkalis are less water soluble
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| Paroxetine | antidepressant med with the highest safety margin
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| Hymenoptera family of insects includes ___ which usually causes death secondary to | yellow jackets/anaphylaxis
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| most pit viper bites are inflicted by the | rattlesnake
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| early signs of MAOI od include | nstagmus, tachycardia, hyperactivity
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| carboxyhemoglobin | is hemoglobin combined with carbon monoxide
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| a person who is speedballing is | using cocaine in combination with heroin, either by injection them underneath the skin or directly into the vein in order to regulate the high
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| spray paints and lacquer thinner contain__ and typically cause ___ when the are inhaled recreationally | tolunen, hallucinations and mania
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| poisoning with clostridium botulinum | is a result of improper food storage or canning
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| toxicity of carbon monoxise arises from | its affinity for hemoglobin in red blood cells
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| the bioavailabilty and excretion rate of a toxin are influenced most by | the amount of toxin and the relative speed at which it is metabolized
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| when heroin passes thru the liver | it is metabolized into acetyl-morphine which continues to exert narcotic eddects that may outlast the effects of naloxone
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| psychological dependence | the emotional state of craving a drug to maintian a feeling of well being
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| ingested ethylene glycol 6hrs ago presents with | slurred speech and ataxia
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| management for an ingested posion focuses on | neutralizing the posion in the stomach
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| atypical of an alcoholic | chronically pale face and palms
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| venom from a pit viper causes | local tissue necrosis, neuromuscular dysfunction and increased vascular permeability
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| inhaled toxins | quickly reach the alveoli and rapidly gain acess to the circulatory system
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| Pamelor may cause | QRS widening
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| major issue for pts taking MAOI is | they have a high potential for lethal drug interactions
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| TX for a black widow spider | opiods, benzodiazepines, calcium gluconate
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