Upgrade to remove ads
Only $35.99/year

MTB step 3 EM/tox

Terms in this set (49)

gastric emptying
1 hour 50% pill removed
1-2 hrs 15%
2 hrs: useless
never acid or base
no ipecac if AMS or kid
intube and lavage: 1-2 hrs, no rsp naloxone, dextrose, thiamine
AMS with unknown causes
naloxone, thiamine, dextrose
charcoal
give, doesn't harm
overdose orders
tox screen, carcoal, CBC, chemistry, urinalysis
psych consult
oxygen for CO
acetaminophen antidote
n-acetyl cysteine
aspirin antidote
bicarb to alk urine
benzo antidote
do not give flumazenil, may cause seizure
CO antidote
100% O2, hyperbaric in some cases
digoxin antidote
digoxin binding AB
ethylene glycol antidote
fomepizole or etoh
methanol antidote
fomepizole or etoh
methemoglobinemia antidote
methylene blue
NMS antidote
bromocryptine, dantrolene
organophosphates antidote
atropine, pralidoxime
TCA antidote
bicarb protect heart
tylenol overdose course
first 24 hrs: NV
48-72 hrs: liver failure
tylenol when NAC
first 24 hrs helps
tylenol level
10 G toxic
15 G lethal
lower if etoh or liver dz
aspirin overdose
hyperventilate, can cause ARDS
met acidosis, krebs cycle backup lactic acid
resp alk
inc PT vit K factors
seizure, coma
fever
aspirin overdose tests
CBC, chem, abg, PT/PTT/INR, ASA level
asa overdose tx
3 amps bicarb
bicarb tx what overdoses
asa, TCA, phenobarbital, chlorprpamide
overdose pt order what levels
etoh, asa, tylenol on all bc coingest
he feels better when shoveling snow when snowed in
CO poison
digoxin overdose sx
GI, yellow halos vision, arrhythmia PR prolongation, encephalopathy
inc digoxin levels
hypoK
but dig causes hyperK
ethylene glycol present
renal insuff, hypoCa, kidney stones
methanol present
visual, retinal hyperemia
methemoglobinemia sx
cyanosis, SOB, dizzy, HA, confusion, seizures
nitrate, anesthetics, dapsone, lidocaine, benzocaine, bupivicaine. nitroglycerin
dx methemoglobinemia
nrl pO2, with brown blood
methemoglobin level
tx methemoglobinemia
100% O2
methylene blue restores Hb to nrl state
tx NMS/malignant hyperthermia
cabergoline or bromocriptine, dantrolene
heat exhaustion
sweating, n/v
nrl saline (room temp) and put in cold enviroment
heat stroke
dry skin, AMS
spray with water, ice pack/baths
organophosphates
crop duster, nerve-gas attack
salivation, tearing, urination, diarrhea, wheezing from bronchospasm
organophosphates tx
best initial atropine
most effective: pralidoxime
remove clothes and wash body
TCA overdose
die seizure or arrhythmia
dilated pupils, dry mouth, constipation, urinary retention
TCA ekg
widening QRS->vtach torsades
black widow bite
abd pain, rigidity, hypoCa
like perfed bowel, but w/o tenderness
tx antivenin
brown recluse spider bite
local necrosis, bullae, dark lesions
debriding wound
steroids and dapsone
burn who intubate
hoarseness, wheezing, stridor, burn inside nose or mouth
burn fluids
4 ml for each percent, each KG
hypothermia ekg
j-waves of osborn ST elevation
acute angle glaucoma
red eye, fixed midpoint pupil
pilocarpine drops, manitol
acetazolamide dec production
prostaglandin lantaprost, travoprost
timolol
apraclonidine
retinal detachment
curtain coming down
tild head back,
tx surg, cryotherapy, inject gas
conjunctivitis viral
bilateral watery discharge, itchy
conjunctivitis bacterial
unilateral, purlulent, eyelids stuck
tx topical
uveitis
photophobia
slit lamp
steroids
abrasion
fluorescein stain
do not patch caused by contact lenses
Other sets by this creator