ClinMedV:Toxicology(Exposure)

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Author:
heather.dundas
ID:
238540
Filename:
ClinMedV:Toxicology(Exposure)
Updated:
2013-10-03 11:18:20
Tags:
vti
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vti
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  1. Types of exposure:OOID
    • Oral Occular
    • Inhalent
    • Dermal
  2. When is emesis contraindicated with oral exposure?PCSAA
    • petroleum distillates (kerosine)
    • caustic substances
    • sharp or traumatic objects
    • acids
    • alkalis
  3. Emesis is effective how long after ingestion?
    2hrs
  4. How much does emesis empty the stomach?
    40-60%
  5. 3 methods to induce emesis:HAX
    • H2O2 (3%)
    • Apomorphine
    • Xylazine
  6. What is the dose of 3% H2O2 given?
    1 teaspoon/5#
  7. How many ml in a teaspoon?
    5
  8. What is the max dose of 33% H202
    3 tablespoons
  9. How often is administration of H2O2 repeated?
    How long should it take to causes emesis?
    • repeat only once
    • should take 10-15 each dose
  10. What is the dose of apomorphine?
    0.04mg/kg
  11. How is apomorphine  usually given?
    tablet of part of tablet is placed in the conjunctiva
  12. What are two other routes for apomorphine?
    • IV
    • IM
  13. What should be done after the drug is effective?
    rinse eye
  14. What are 2 things to note with apomorphine?
    • don't use it in cats
    • is poorly absorbed through the GI tract
  15. What can be used in cats?
    Xylazine
  16. What are some side effects of using Xylazine?
    dec RR and HR
  17. What can be done to the emesis agents to make them more palatable? This works well in cats.
    dilution
  18. What can be used for dilution?MHJ
    • milk
    • H2O
    • milk from canned tuna
  19. Indications for gastric lavage:VS
    • v+ ineffective or contraindicated
    • seizuring
  20. What does gastric lavage require?
    general anesthesia with cuffed ET tube
  21. When is gastric lavage most useful?
    w/in 2-4 hrs
  22. What forms does activated charcoal come in?PLGC
    • powder
    • liquid
    • gel
    • capsule
  23. Activated charcoal is given bt syringe or stomach tube what is the dose?
    1-3g/kg
  24. How can initial doses be given
    2 doses one hour apart
  25. When can activated charcoal be repeated?
    every 4-8hrs at half the original dose
  26. Review placement of a orogastric tube for the administration of activated charcoal
  27. What 2 things increase elimination from the GI tract by moving toxin through more rapidly?CE
    • cathartics
    • enemas
  28. When are cathartics contraindicated?DEH
    • d+
    • electrolyte imbalance
    • high sodium
  29. What is the first thing done with ocular exposure?
    rinse eyes with warm water or saline
  30. How long are the eyes rinsed?
    20-30min
  31. What should be checked in the eye? Repeat in 24hrs
    corneal ulcers with flurosene stain
  32. What is done in the case of an inhalant exposure?RPM
    • remove from area
    • provide fresh air or O2
    • monitor for pulmonary edema
  33. What is used to bathe an animal in a dermal exposure?
    mild dish soap and warm water
  34. The animal is kept warm and if the substance is stinky what may be used?
    a solvent

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