Unintentional
The population most likely to be exposed to unintentional ingestions.
What is pediatric patients?
Most common class of substances used for intentional overdoses.
What are prescription medications?
First thing that should be assessed in a poisoning/exposure presentation.
What are the ABCs (always)?
Three signs of opioid overdose
What are myosis, sedation, bradypnea, hypotension, and bradycardia?
Most useful resource in managing any form of toxic exposure/poisoning.
What is your local Poison Control team?!?
Three of the top substances involved in accidental ingenstion/exposure.
What are medications, liquid nicotine (edibles), cleaning products, anitfreeze/windshield wiper fluid, pesticides, gasoline/kerosine, furniture polish?
Top most common means to suicide
The basic laboratory tests
What are CBC, Lytes/extended lytes, LFTs/LEs, Cr/BUN, ABG vs VBG
What 'tweakers' can exhibit clinically
What is the Sympathomimetic toxidrome?
Optimal time frame in which to use activated charcoal.
What is within the first hour since exposure?
They can help purify the air or poison a child.
What are house plants?
Two reasons why someone may intentionally cause poisoning/ingestions
What are suicide, malingering, Munchausen's syndrome, abuse, and murder?
The biggest reason why getting the best history you can is important.
What is the time (and amount) of substance taken?
Blind as a bat. Mad as a hatter. Red as a beet. Hotter than Hades. Dry as a bone. The bowel/bladder lose their tone. The heart runs alone.
What is th anticholinergic toxidrome?
Two approaches(not specific drugs) to actively manage poisoning?
What are antidotes and supportive management?
Mule, Easter Egg, packing, stuffing.
Who is someone who transports illicit drugs via the GI tract?
Most common finding on toxicology report after an intentional poisoning/ingestion?
Three 'end of the bed' signs that could indicate poisoning.
What are unexpected lethargy, confusion, N/V/D, atypical body movements, psychosis, diaphoresis, hypo/hyperthermia, and pupil dilation/constriction?
Pilocarpine, physostigmine, and mestinon.
What are the agents associated with cholinergic - muscarinic toxidrome?
Ipecac
What is no longer recommended to use at home to treat an accidental ingestion?
Consider using honey to interfere with the harm of this exposure.
What is swallowing button batteries?
The most common, societally accepted poison in our culture
What is alcohol?
Essential beep beeps, dings, or boop boops
What are the noises that the oxymeter/BP cuff and cardiac monitor make?
Abdominal pain, fasciculations, hypertension, paresis, and tachycardia.
What are the symptoms/signs of cholinergic- nicotinic associated toxidrome?
Unusual management if long acting formulations and/or iron containing tablets are ingested.
What is whole bowel irrigation?