324106
Description
Flashcards by Jaimie Shah, updated more than 1 year ago
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Created by Jaimie Shah
over 10 years ago
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| Question | Answer |
| When is gastric emptying helpful | first hour after an over dose to remove 50%, next hour only 15% is out and then it is useless |
| you cannot perform gastric emptying if acids or alkali are ingested | true |
| Never give ipecac to a patient with altered mentaiton due to aspiration risk; not to children either | true |
| what to order in a OD | naloxone, thiamie, glucose; antidote; tox screen, charcoal, CBC, chem, UA, psych consult, O2 |
| tylenol OD | NAC |
| ASA OD | bicarb to alkalinize the urine |
| BDZ | flumazinil but it may ppt a seizure better support therapy |
| CO poison | oxygen |
| Dig tox | dig-abs |
| ethylene glycol | fomepizole/ ethanol and dialysis |
| Methanol posioning | fomepizole/ethanol or dialysis |
| Methhemoglobinemia | methylene blue |
| NMS antidote | bromocriptine, dantrolene |
| opiate OD | naloxone |
| organophosphate poison | atropine, pralidoxime |
| TCA OD | bicarbonate to protect the heart |
| if ASA toxicity order | CBC, chem, ABG, PT/INR/PTT, ASA level |
| ASA tox tx | alkalinze the urine, charcoal, dialysis |
| when does alkalinize the urine help to excrete the drug | ASA, TCA, phenobarb, chlorpropamide |
| presentation with SOB, lightheaded, HA, disoriented, metabolic acidosis | CO poisoning (feels better when he shovels the snow)- 100% O2 |
| Dig toxicity | GI dist, any arrythmia, sees yellow halos, can be due to hypokalemia but causes hyperkalemia |
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