Toxidromes
This toxidrome has symptoms including drowsiness, CNS depression, respiratory depression, bradycardia, hypotension, miosis.
What is Narcotic
Concerning electrolyte in a Digoxin Case
Potassium
What product is this treatment for?
Decontamination with warm water compresses, oily substances, generally recommended. Soak pieces off, do not tear them, can cause wounds in skin.
What is adhesives and glues?
What does fomepizole treat?
EG and Methanol Poisoning
Amount of EG that can be monitored from home?
Generally less than a small lick or taste in a child, or less than 10-30 ml in an adult can be monitored from home, significant toxicity not expected
toxidrome that includes diarrhea, urination, miosis, bradycardia, emesis,lacrimation, and salivation.
What is cholinergic (muscarinic)
Lactate
Causes hypoglycemia in children
what is ethanol?
Which type of detergent is generally more concerning, anionic/non ionic or cationic, but overall neither are expected to cause significant injury unless concentrated
Cationic
Agitated, confused, hallucinating, mydriasis, tachycardia, hypertension, hyperthermia,
wet pale skin.
Sympathomimetic
Lab to suggest when a patient has been having seizures, down for an extended period of time, agitated
CK
What is methanol found in?
windshield wiper fluid, gas line antifreeze, fuels, photocopy fluid, solvents, carburetor cleaner, and as an adulterant in homemade ethanol distillates.
Isopropyl alcohol makes you....
Twice as drunk, twice as long
Name a reason to get an INR
rodenticide ingestion, severe APAP intoxication, anticoagulant ingestion
Name a route of exposure to a toxidrome causing item other than a drug
Nicotinic- plants, tobacco
Anticholinergic- plants, like belladona alkaloids
Cholinergic muscarinic- organophosphates, carbamates, nerve gas, mushrooms
What can cause both an elevated osmolar gap and anion gap?
methanol or ethylene glycol or severe AKA or DKA
What is phenol used for?
Phenol is used in the treatment of localized skin disorders and as a local anesthetic. Dilute phenol solutions have been injected for celiac plexus nerve blocks. It is also used extensively in the manufacture of many other chemicals and drugs, as a dye and indicator, antiseptic, disinfectant, a reagent in chemical analysis, and a preservative for pharmaceuticals.
Name a drug that can drop your blood sugar other than a diabetic agent?
Betablockers like propranolol
A mother brings her 1.5yr old son to the ED for evaluation of allergies. She has treated him throughout the day with an over-the-counter medication. She describes him as lethargic with dry skin and less wet diapers than usual. His pupils are very large. Which toxidrome does this fit?
Anticholinergic
Name a difference between sympathomimetic and anticholinergic
pale skin
What are the concerns of hyponatremia?
Severe hyponatremia can result in seizures and altered mental status
A 3yr old child was brought to the ED after swallowing a button battery. X-ray shows it to be in the esophagus just above the carina. He is in no distress and looks well. The next step in treatment should be:
A. Urgent endoscopy
B. Observation, if no symptoms after 6hrs may be discharged home with close follow-up
C. Induce vomiting
D. Admit for overnight observation
urgent endoscopy
Best Vacation spot in the world?
Disney.
A 16yr old girl presented to the ED with recurrent seizures after partying. She continues tohave significantly altered mental status with seizure activity despite multiple doses ofbenzodiazepines. Her initial head CT is negative. There is a history of using ecstasy (MDMA).What is likely the cause of her seizures?
Hyponatremia