First line treatment for cocaine chest pain
Benzodiazepines (NTG also acceptable)
Loading dose of N-Acetylcysteine (in mg/kg)
150 mg/kg
Bradycardia, hypotension, hypoglycemia.
beta blocker
Ingestion of extended release preparations, body packing, and heavy metal ingestion may all be indications for this enhanced elimination technique
Whole bowel irrigation
somnolent, miosis, Hypertension initially than hypotension, bradycardia
clonidine
3 interventions for severe calcium channel blocker toxicity
Calcium
Atropine
Vasopressors
High dose insulin
Lipid Emulsion
ECMO
Protamine
Heparin overdose
20 year old male with agitation, noted to be "picking at things in the air." His heart rate is 120 with blood pressure 145/90. Pupils are dilated. Dry Skin
Anticholinergic
Coricidin - acetaminophen/chlorpheniramine. (benadryl, hydroxyzine would also be acceptable)
Metformin toxicity causes severe lactic acidosis and tends to be responsive to this enhanced elimination technique
Hemodialysis
56 year old white male went to the barn to "work on the tractor." When he returned, he appeared intoxicated. pH is 7.02 with an anion gap metabolic acidosis on CMP and an osmolar gap of 35.
Fomepizole
Seizures
1U/kg Insulin infusion (name 2)
Beta blocker (calcium channel blocker also acceptable, anesthetics)
64 year old female with history of congestive heart failure is found with pills around her bed. Atrial tachycardia with 3:1 block, narrow complex. Pulse 55.
Digoxin
carbamazepine, phenobarbital, theophylline, salicylates may all be indications for this enhanced elimination technique
multi-dose activated charcoal
25 year old female with an unknown ingestion. She demonstrates altered mental status. Vs: p 110 bp 130/80 r 24 sao2 95% on ra. ABG: 7.36/26/113/18
Sodium Bicarbonate
Antidote for seizures related to False Morel ingestion
pyridoxine
Bromocriptine
Neuroleptic Malignant Syndrome
Pt.'s friend reports that they went clubbing and she suspects her friend may have used something. Physical exam reveals hyperreflexia, inducible clonus, and ocular clonus/rotatory nystagmus.
PCP
This enhanced elimination technique is used in mild to moderate severity salicylate toxicity (not hemodialysis)
Urinary alkalization
syncope after involvement in a structure fire. Lactate 10.
hydroxylcobalamine (amyl nitrate and sodium thiosulfate also acceptable)
Antidote for metabolic derangement associated with Valproic acid toxicity
L-carnitine
Name 4 substance that can be dialyzed
All toxic alcohols
Aspirin
Phenobarbital
Lithium
16 year old amish female presents with generalized weakness, mild confusion, dyspnea, and a bluish tint to the lips and skin. Pulse oximetry reveals an oxygen saturation of 85%.
Nitrates in well water causing methemoglobinemia
Sulfuryl fluoride poisoning antidote
Calcium
20 year old out clubbing, Altered mental status. Sodium= 118
Ecstasy (MDMA)