QT Prolongation
Prolonged QTc can lead to this type of deadly arrhythmia.
What is torsade de pointes?
This fish has venomous spines!
What are rockfish?
Poisoning with this gas may be treated in a hyperbaric oxygen chamber.
What is carbon monoxide?
This is currently the most common substance implicated in drug-involved overdose deaths in the US.
What is fentanyl?
This is the contraindication for giving activated charcoal.
What is high risk of aspiration (altered mental status, etc.)?
This is the treatment for torsade de pointes.
What is magnesium?
This kind of ocean-related poisoning can cause death in as little as 2 hours from paralysis of the breathing muscles.
What is paralytic shellfish poisoning?
This toxic gas is produced by mixing ammonia and bleach.
What is chloramine?
These are three examples of hallucinogenics.
What are LSD, mushrooms, and cannabis?
This is the antidote for cyanide poisoning.
What is hydroxocobalamin?
(Or amyl or sodium nitrite followed by sodium thiosulfate)
Prolonged QTc on ECG represents this process in the heart.
What is delayed ventricular repolarization?
This invasive plant is famous as the source for a classic heart-failure medication.
What is foxglove?
This gas, which is said to smell like bitter almonds, kills by inhibiting aerobic metabolism at the cellular level.
What is cyanide?
This party drug is known to cause severe hyperthermia, which can be deadly.
What is MDMA (ecstasy)?
Vodka, gin, or whiskey will work as an antidote for this kind of poisoning.
What is methanol or ethylene glycol poisoning?
These are two common categories of medications that may cause QTc prolongation.
What are antiemetics and antipsychotics?
This native plant, typically found beside streams, boasts toxic white or red berries.
What is Baneberry? (Doll's Eyes)
These toxic gases cause SLUDGE or DUMBELLS symptoms (diarrhea, urination, miosis, bradycardia, emesis, lacrimation, lethargy, salivation).
What are nerve agents?
This drug notoriously causes rotary nystagmus.
What is PCP?
This medication can be used to treat beta-blocker overdose.
What is: Glucagon, high dose insulin (w/glucose), atropine, IV fluids, vasopressors?
This is a common antibiotic used to treat pneumonia that causes prolonged QTc.
What is azithromycin?
This flamboyant poisonous plant can be found in yards and muskegs on Prince of Wales island, and features dark blue-purple flowers scattered on a long stem.
What is monkshood (wolfsbane)?
This severely toxic gas, associated with sewers, oil and gas production, caves, etc., can cause a sudden loss of consciousness at the time of exposure known as a “knockdown”.
What is hydrogen sulfide gas?
This finding on exam differentiates between anticholinergic vs sympathomimetic syndromes.
What is dry vs wet skin?
(or decreased vs increased bowel sounds)
This is the correct dose of atropine to give in cholinergic poisoning.
Whatever amount they need!