Psychiatric Disorders
Conditions in which a person behaves or thinks a way that is dysfunctional or causes distress to other people.
Personality Disorders
Altered mental status, Hypoventilation, respiratory arrest, pinpoint or constricted pupils, bradycardia, hypotension, track marks, drowsiness, coma
Opioid
Most common cause of fatal poisonings. May occur more frequently in cold climates as a result of gas powered heaters in poorly ventilated areas
Carbon Monoxide
True or false:
Psychosis is a condition characterized by breaking with common reality and existing mainly within an internal world.
True
Routes of entry of toxic substances
ingestion, inhalation, injection, and absorption.
Collection of psychiatric disorders without psychotic symptoms and lacking the intense psychopathology of other mood disorders including anxiety, phobias and panic disorder.
Neurotic Disorders
Red as a beet, Dry as a bone, mad as a hatter, hot as a pistol, full as a flask, tachycardia and hypertension
Anticholinergic
Substance that can impair judgement after the user’s perception of reality. Two subcategories, synthetic and naturally occurring.
Hallucinogens
Conditions formerly known as alcohol abuse, dependance, addiction, and alcoholism
Alcohol use disorder
Can cause anxiety or panic. Short term effects include tachycardia, balance and coordination problems, increased appetite, Conjunctival injection, dry month, and possible memory loss in addition to drowsiness and relaxation
Marijuana and Cannabis
A condition in which a person is overly concerned with physical health and appearance to the point that it dominates everything
Somatoform disorders
At least 3 of the following: agitation, ataxia, diaphoresis, diarrhea, hyperreflexia, mental status change, myoclonus, shivering, tremors, hyperthermia, tachycardia
Serotonin Syndrome
These medications enhance the release of catecholamines which stimulate the CNS.
Stimulants
Typically caused by stressors or metabolic conditions.
Excited Delirium
Characterized by restlessness, fever, sweating, disorientation, agitation and seizures; can be fatal if left untreated
Delirium Tremens (DTs)
A disorder in which a person wishes to be sick and intentionally produces or feigns physical or psychological signs and symptoms.
Factitious disorders
Hypertension, diaphoresis, tachycardia, tachypnea, dilated pupils, agitation, seizures, hyperthermia, delusions/ paranoia
Sympathomimetic
A class of chemicals found in many insecticides used in agriculture and in the home. Nerve agents fall in this class
Organophosphates
Behaviors that have a hidden meaning or intention that only the person understands
Covert behavior
What type of poisoning has tachycardia early with transitioning to bradycardia as toxicity progresses.
Cholinergic
Conditions in which a persona lacks the ability to resist a temptation or cannot stop acting on a drive. Examples are intermittent explosive disorder, kleptomania, pyromania, and pathological gambling
Impulse Control Disorders
Hypoventilation, respiratory arrest, drowsiness, disinhibition, ataxia, slurred speech, mental confusion, respiratory depression, progressive CNS depression, hypotension
Sedative-hypnotic
Strong acids pH <2.0 and strong alkalis pH>12.0. Both are common in the agriculture industry and home cleaning agents.
Caustic Poisons
True or False:
Excited Delirium can be a fatal state of extreme agitation and delirium, including agitation aggressiveness, tolerance to significant pain, inappropriate clothing for the environment, bizarre behaviors, non compliance with instructions from law enforcement, profuse sweating, incoherent speech, superhuman strength, hyperactivity, respiratory arrest, and death.
What stage of Acetaminophen toxicity has metabolic acidosis, renal failure, coagulopathies, recurring GI symptoms
III (72-96 hours)