Tox lecture 1
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| AIRWAY (pi) | • Check gag/cough reflex
• Position patient
• Clear/suction airway
• Endotracheal intubation? (p 4)
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| BREATHING (p 5) | • Obtain arterial blood gases
• Assist with bag/mask device
• Give supplemental oxygen
• Ventilatory failure? (p 5)
• Hypoxia? (p 6)
• Bronchospasm? (p7)
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| CIRCULATION (p B) | • Measure blood pressure/pulse
• Monitor electrocardiogram
• Start 1-2 IV lines
• Obtain routine bloodwork
• Bradycardia/AV block?
• Prolonged QRS Interval?
• Tachycardia?
• Ventricular arrhythmias?
• Hypotension?
• Severe hypertension
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| Altered Mental Status | • Recognize/treat hypoglycemia
• Monitor rectal temperature
• Consider organic causes
• Treat seizures
• Control agitation
• Coma or stupor? (p 18)
• Hypothermia? <p 20)
• Hyperthermia
• Seizures? (p 22)
• Agitation?
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| OTHER COMPLICATIONS | • Check urine myoglobin
• Obtain allergy history
• Dystonia
• Ridgidity
• Allergy or anaphylaxis?
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| DIAGNOSIS OF POISONING | • Physical examination
• Essential laboratory tests
• Osmolar gap?
• Anion gap acidosis?
• Hyper/hypoglycemia?
• Hyper/hypo-natremla?
• Hyper/hypo-kalemia?
• Renal failure?
• Liver failure?
• Toxicology screening?
• Abdominal x-ray?
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| DECONTAMINATION (p 4S) | • Wash skin and irrigate eyes
• Emesis or gastric lavage
• Charcoal and cathartic
• Hazardous materials? (p 563)
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| ENHANCED ELIMINATION (p 53) | • Hemodialysis
• Hemoperfuslon
• Repeat-dose charcoal
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| DISPOSITION (p 56) | • Toxicology consultation
• Psychosocial evaluation
• Regional poison center consultation [(800)222-1222
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Or sort by any of the columns using the down arrow next to any column heading.
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