Toxidromes
Four (4) signs and symptoms associated with a cholinergic toxidrome.
Salivation, Lacrimation, Urinary Incontience, Diarrhea, Gastrointestinal distress, Emesis, Bradycardia, Bronchospasm, Bronchorrhea
Speed, bennies, glass, crank, pep pills, uppers
Amphetamines
Antidote for acetamiophen and MOA
N-acetycysteine
ABG finding associated with ethylene glycol overdose.
Metabolic acidosis.
Decreased pupil size, decreased respirations, coma.
Opioid Toxidrome
Acid, blotter, microdot, window pane
Lysergic Acid Diethylamide (LSD)
The "ABCD3EFG" of toxicology.
Airway, Breathing, Circulation, Drugs, Draw bloods, Decontamination, Expose, Full vitals (monitors), Give specific antidotes.
Main ECG finding associated with ASA overdose.
Widened QRS
3 signs and symptoms associated with Sympathomimetic toxidrome.
Mydriasis, Agitation, Arrhythmia, Angina, Tachycardia, Hypertension, Hyperthermia, Seizure, Sweating
Apache, China girl, China town, China white, murder 8, jackpot, poison, TNT, tango and cash
Fentanyl
Three substances that will NOT bind to activated charcoal.
Hydrocarbons, heavy metals, acids, alkali, alcohols, Iron, Lithium, solvents
The length of time that marijuana is detectable in urine.
2-7 days.
Blurred vision, coma, decreased bowel sounds, delirium, dry skin, fever, flushing, hallucinations, ileus, memory loss, mydriasis, myoclonus, psychosis, seizures, and urinary retention.
Anti-cholinergic toxidrome
Blow, flake, freebase, rock, snow
Crack/Cocaine
What makes up the "universal antidote" aka, "the coma cocktail?"
Dextrose, Oxygen, Naloxone, Thamine +/- flumazenil
Two liver panel findings associated with Alcoholic Liver Disease.
Elevated GGT
2:1 AST:ALT Ratio
The Classic Triad associated with serotonin syndrome.
Mental Status Changes, Autonomic Instability, Neuromuscular Hyperactivity
Batu, Biker’s Coffee, Chicken Feed, Tina
Methamphetamines
Naloxone's mechanism of action.
Opioid competitive antagonist
Name 5 of 10 CIWA protocol sections.
Nausea/Vomiting, Tremor, Paroxysmal Sweats, Anxiety, Agitation, Tactile disturbances, Auditory disturbances, Visual disturbances, Headache, Orientation.