Tox

Question 1

What agents ⬆︎risk for Methemoglobinemia - 3

Answer 1

1. dAPSONE
2. nITRITES
3. tOPICAL ANESTHETICS

Pulse Ox Saturation will be low and PaO2 will “seem” to be normal

Question 2

What are the Lead chelating agents?-2

________________

At what lead level do you use them?

Answer 2

1. [Dimercaptosuccinic acid (45-69)]
2. [DimerCaProl + EDTA ( ≥70 or acute encephalopathy)]

________________

Be sure to confirm lead levels with venous lead level before starting tx

Question 3

What is the MOA for Sodium Bicarbonate in TCA OD

Answer 3

[⬆︎extracellular sodium] and [⬆︎ extracellular pH] alleviates [TCA cardio-depressent action] on sodium channels

Question 4

cp for Arsenic toxicity - 3

Answer 4

3 P’s

1. Painful Polyneuropathy
2. Pigmentation abnormalities
3. Pancytopenia

RF: pressure treated wood, pesticides

Question 5

What are the most serious consequences of methanol intoxication? - 2

Answer 5

1. VISION LOSS
2. Coma

Question 6

What is the most reliable sign of opioid intoxication

Answer 6

Respiratory Depression

Question 7

Toxicity of which compound causes Bitter Almond Breath?

Answer 7

{CYanide toxicity ➜ [PINK SKIN with Yucky BITTER ALMOND BREATH]}