Therapeutics - Accidental Ingestions

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Author:
kyleannkelsey
ID:
294504
Filename:
Therapeutics - Accidental Ingestions
Updated:
2015-02-01 09:49:04
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Therapeutics Accidental Ingestions
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Therapeutics - Accidental Ingestions
Description:
What are the Sympathomimetics? Cocaine, amphetamines, ephedrine, EPI, pseudoephedrine, phenylpropanolamine, theophylline, caffeine, methylphenidate What are the Anticholinergics? Antihistamines, TCAs, cyclobenzaprine, antiparkinson agents, antispasmodics, phenothiazines, atropine, scopolamine, belladonna alkaloids (e.g. Jimson weed), low potency antipsychotics, Oxybutynin, ipratropium, Ach receptor antagonists What are the Hallucinogens? Phencyclidine (PCP), LSD, mescaline, psilocybin, designer amphetamines (MDMA, etc) What drugs can cause serotonin syndrome? MAO-Is alone, SSRIs, meperidine, dextromethorphan, TCAs, L-tryptophan What are examples of TCAs? Amitriptyline, imipramine, doxepin What are examples of Sedative-hypnotics? Benzodiazepines, barbiturates, carisoprodol, glutethimide, alcohols, zolpidem (z-drugs), Antihistamines What are the Cholinergics? Organophosphate and carbamate insecticides, nerve agents, nicotine, pilocarpine, physostigmine, urecholine, ACh agonist (donepezil) Which drug groups cause mydriasis in OD? Sympathomimetics, Anticholinergics, Hallucinogenics, TCA’s, drugs that cause Seratonin Syndrome Which drug groups cause miosis in OD? Opioids Sedative Hypnotics (or no response) Cholinergics What are the vital signs and mental status associated with Sympathomimetic OD? Hyperthermia, tachycardia, hypertension, widened pulse pressure, tachypnea, hyperpnea Hyperalert, agitation, hallucinations, paranoia What are the vital signs and mental status associated with Anticholinergic OD? Hyperthermia, tachycardia, hypertension, tachypnea Hypervigilance, agitation, hallucinations, delirium, mumbling speech, coma What are the vital signs and mental status associated with Hallucinogenic OD? Hyperthermia, tachycardia, hypertension, tachypnea Hallucinations, perceptual distortions, depersonalization, synesthesia, agitation What are the vital signs and mental status associated with Serotonin Syndrome? Hyperthermia, tachycardia, hypertension, tachypnea Confusion, agitation, coma What are the vital signs and mental status associated with TCA OD? Hyperthermia, tachycardia, hypertension then hypotension, hypopnea Confusion, agitation, coma What are the vital signs and mental status associated with Opioid OD? Hypothermia, bradycardia, hypotension, hypopnea, bradypnea CNS depression, coma What are the vital signs associated with Sedative hypnotic OD? Hypothermia, bradycardia, hypotension, hypopnea, bradypnea CNS depression, confusion, stupor, coma What are the vital signs associated with Cholinergic OD? Bradycardia, hyper or hypotension, tachy or bradypnea Confusion, coma
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  1. What are the Sympathomimetics?
    Cocaine, amphetamines, ephedrine, EPI, pseudoephedrine, phenylpropanolamine, theophylline, caffeine, methylphenidate
  2. What are the Anticholinergics?
    Antihistamines, TCAs, cyclobenzaprine, antiparkinson agents, antispasmodics, phenothiazines, atropine, scopolamine, belladonna alkaloids (e.g. Jimson weed), low potency antipsychotics, Oxybutynin, ipratropium, Ach receptor antagonists
  3. What are the Hallucinogens?
    Phencyclidine (PCP), LSD, mescaline, psilocybin, designer amphetamines (MDMA, etc)
  4. What drugs can cause serotonin syndrome?
    MAO-Is alone, SSRIs, meperidine, dextromethorphan, TCAs, L-tryptophan
  5. What are examples of TCAs?
    Amitriptyline, imipramine, doxepin
  6. What are examples of Sedative-hypnotics?
    Benzodiazepines, barbiturates, carisoprodol, glutethimide, alcohols, zolpidem (z-drugs), Antihistamines
  7. What are the Cholinergics?
    Organophosphate and carbamate insecticides, nerve agents, nicotine, pilocarpine, physostigmine, urecholine, ACh agonist (donepezil)
  8. Which drug groups cause mydriasis in OD?
    Sympathomimetics, Anticholinergics, Hallucinogenics, TCA’s, drugs that cause Seratonin Syndrome
  9. Which drug groups cause miosis in OD?
    • Opioids
    • Sedative Hypnotics (or no response)
    • Cholinergics
  10. What are the vital signs and mental status associated with Sympathomimetic OD?
    • Hyperthermia, tachycardia, hypertension, widened pulse pressure, tachypnea, hyperpnea
    • Hyperalert, agitation, hallucinations, paranoia
  11. What are the vital signs and mental status associated with Anticholinergic OD?
    • Hyperthermia, tachycardia, hypertension, tachypnea
    • Hypervigilance, agitation, hallucinations, delirium, mumbling speech, coma
  12. What are the vital signs and mental status associated with Hallucinogenic OD?
    • Hyperthermia, tachycardia, hypertension, tachypnea
    • Hallucinations, perceptual distortions, depersonalization, synesthesia, agitation
  13. What are the vital signs and mental status associated with Serotonin Syndrome?
    • Hyperthermia, tachycardia, hypertension, tachypnea
    • Confusion, agitation, coma
  14. What are the vital signs and mental status associated with TCA OD?
    • Hyperthermia, tachycardia, hypertension then hypotension, hypopnea
    • Confusion, agitation, coma
  15. What are the vital signs and mental status associated with Opioid OD?
    • Hypothermia, bradycardia, hypotension, hypopnea, bradypnea
    • CNS depression, coma
  16. What are the vital signs associated with Sedative hypnotic OD?
    • Hypothermia, bradycardia, hypotension, hypopnea, bradypnea
    • CNS depression, confusion, stupor, coma
  17. What are the vital signs associated with Cholinergic OD?
    • Bradycardia, hyper or hypotension, tachy or bradypnea
    • Confusion, coma

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