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Aulockhart
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HA, Nausea, Dizzy, Confusion -> Tachycardia, Tachypnea, MI
Carbon Monoxide
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Tx Carbon Monoxide
02 100% 220 -> 80. if, HBC -> 40
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HA, NV, Lethargy, Coma, HypoTN, Brady, Pulm edema, Ab pain, Seizures
Cyanide
- Hydroxoycobalamine (red MSU) Anaphylaxis Angioedema
- NA Nitrate
- NA Thiosulfate
- Amyl Nitrate (also causes HA)
- *above three cause HyptoTN, and NV
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DUMBBELS -> Respiratory failure
& Weakness -> Paralysis
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Encephalopathy (HA, seizure, coma, lethargy)
GI (anorexia, constipation, ab pain)
Peripheral NS (peripheral neuropathy, Foot drop)
Lead
- BAL - avoid if allergic to peanuts
- ECD
- Chemet
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NVD, Shock, delirium, lesions, pruritic diffuse rash, Hyper/o pigmentation, Mess lines, HypoTN, death
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Hepatotoxic.
NV, Pallor, Diaphoresis -> Inc LFT & AST -> Encephalopathy, coma, death. (inc LFT abn PT/INR)
Tylenol
- Charcoal
- Mucomist
- Acetadote
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Mydriasis, Anorexia, Anxious, Agitation, Tachy, HTN, MI, Seizures, Hyper-Gly, Hyper-Therm, Rabo
Amphetamines & Stimulent
- SX: Benzo/ Barbs, Propofol, Haloperidol, Nitro, CaCB
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Red, Hot, Dry, Blind, Mad x2
Anticholinergic
- Benzo or Antipsyc for agitationPhysostigmine for annit cholinergic effects
- !!(not for cyclic antidepressants)!!
- -mainly for drugs with anti- m properties; Atropine, scopolamine, benztropine, trihexyphenidyl
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Hyperthermia
HTN
HoTN
CNS excitation
SS MOI OD
- SX:
- Cool bath
- Phentolamine
- Epi.Nepi
- Benzo
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ST
Torsades
HoTN
Seizure
Cyclic OD
- NA Bicarb
- Mg sulfate
- Fluid bolus
- Benzo, Barb
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Hyperthermia - Auto dysfxn - AMS - Muscular Rigidity
Antipsycotic
- BenzoThiamine + DextroseNa Cl bolus (vasopressors) Epi, NEpi
- Na Bicarb IV drip and a 2nd line with Lidocaine IV
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Altered glucose metabolism, Hypoxia, Tachy, seizures, NV, coma, agitation, Hypo K, dec motility, pyloric spasm, Proteinurea, tubular damage.
Salicylates (Aspirin)
- ACWBI
- Na Bicarb to alkalize the urine (1st line)
- Hemodyalysis (2nd line)
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Seizure, coma, delirium, Rsp. depression, Brady, HoTN, Hypoglycemia
Beta blocker
- glucagon
- Ca Gluconate (lol)
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Sedation, Resp. depression
Benzo
Flumazenil (Romazicon)
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Acute pulm injury, Brady, HoTN, Hyper-glycemia
CCB (Dehydor-pines)
- AC
- WBI
- Atropine
- Ca
- NE
- Glucagon
- Insulin and Glucose
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Shock, CV collapse, HoTN, Disrhythmia
Digoxen
- DSfab or Digifab
- se: decreases free serum dig by inc excretion and dec serum K
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Miosis, Seizure, Resp depression, Brady, HoTN
Opioids
Narcan
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