tox - drugs
what does a calcium channel blocker overdose present with?
brady, altered, hyperglycemic
how to treat a stingray injury
remove stinger, hot water immersion
how do you treat methanol poisoning?
fomepazole if osmolar gap is >10
symptoms of hemlock poisoning
nausea, vomiting, saliva, tachycardia
how to treat a calcium channel blocker OD
IV insulin and dextrose, then calcium
treatment jellyfish stings?
box jellyfish?
vinegar
box jellyfish - antivenom
*box jellyfish can cause cardiac arrest
treatment cyanide poisoning?
hydroxocobalmin (can turn urine red)
cyanide p/w severe metabolic acidosis, dysrhythmias
what does oleander toxicity present with?
dysrhythmia, hypotension, cardiogenic shock
*similar to digoxin toxicity
what meds cause anticholingergic toxicity
TCAs, antihistamines, atropine, nightshade (wtf), scoplalmine
treatment octopus bites
supportive
*can cause respiratory arrest, may need to intubate
sarin, an organophosphage nerve agent, exposure presents with what?
miosis, salivation, rhinorrhea, bronchorrhea, vomiting, defecation
anticholingergic toxicity presentation
flushed, dry, mydrias (blurry vision) delrium, urinary retention, tachycardia
treatment organophosphate OD?
pralidoxamine, atropine
* titrate tx to stopping bronchorrhea (excess sputum production) because bronchorrhea can cause respiratory failure
firefighter p/w headache, altered, tachycardia and hypertension. what tox thing are you worried about? how do you treat it?
cyanide poisoning
tx: 100% FiO2 and hydrocycobalamin
clonochis sinensis (liver fluke) ingestion presents with what?
biliary disease after eating freshwater fish
tx: praziquantel