Dromes
AMS
respiratory depression
pin point pupils
opiate toxidromes
N/V
Coagulopathy
Elevated LFT
N-acetylcysteine
Bite from this animal leads to thrombocytopenia, elevated PTT, decreased fibrinogen, and metallic taste in mouth.
Pit Vipers
Patient presents to the ED after being found in his garage confused, complaining that everything is so blurry. Lab work shows: Na: 138, Cl:105, HCO3:12.
Methanol toxicity
yawning
rhinitis
N/V
myalgia
opioid withdrawl
tachycardic
diaphoresis
mydriasis
agitiation
sympathomimetic
AMS
respiratory depression
miosis
Naloxone
A bite from an animal in this family leads to a minimally painful bite, nausea, vomiting, diplopia, and weakness of proximal muscle, and respiratory failure
Elapidae
Patient presents to the ED for AMS, when he was found in his machine shop with a bottle that until recently contained a liquid. Lab work in the ED shows; Na:135, Cl:105 HCO3:22.
Isopropyl alcohol toxicity
This antimicrobial agent can lead to seizures that are refractory to benzodiazepine
Isoniazid
urinary retention
mydriasis
hyperthermia
tachycardia
Antimuscarinic
You give this medication when there is major bleeding associated with a medication that elevates APTT.
Protamine
A sting from this animal found in the coastal waters of florida can cause localized pain to diffuse body pain, hypertensive emergency, pulmonary edema, and rapid cardiopulmonary collapse.
Box Jellyfish
Ingestion of this compound leads to elevated AG, OG, and AKI
Ethylene Glycol
This garlic smelling compound leading to gastroenteritis, hypotension, AMS, peripheral neuropathy.
Arsenic
AMS
hyperthermia
hyperreflexia
clonus
Serotonergic
This antidote is given for overdose of a psychotropic medication that causes QT prolongation, QRS widening, hypotension, and bradycardia
Sodium Bicarbonate
A histamine reaction after eating pelagic marine life, leading to nausea, vomiting, generalized rash
Scombroid
Patient presents to the ED with agitation, aggression, muscle rigidity, nystagmus after he smoked marijuana that was laced with this drug.
PCP
This condition occurs when Fe2+ is converted into Fe3+ in hemoglobin, leading to cyanosis, dyspnea, tachypnea; potentially seizures and death.
methemoglobinemia
AMS
hyperthermia
rigidity
diaphoretic
NMS
This antidote is given for a cardiac medication that causes syncope, AV block/bradycardia, abdominal pain, scooped ST segment
Digoxin fab
Toxin mediated reaction after eating Coral fish leading to headache, vomiting, diarrhea, heart blocks, and cold allodynia.
Ciguatera
This drug found commonly in over the counter medications, that has been used recreationally, leading to hallucinations, hyperthermia, clonus in high enough doses.
Dextromethorphan
Amanita phalloides contains this toxin that leads N/V, and abdominal pain. Followed by resolution of GI symptoms with progression to coagulopathy, transaminitis, and encephalopathy; then death days later.
Amatoxin