most exposures occur where
at home, in the kitchen
most common overall exposure
analgesics
most common exposure in kids
cosmetics, personal care items
most adult fatalities are associated with-
intentional ingestion
most common intervention-
decontamination
first step in management
ABCDE (including to eliminate the exposure)
Identify the toxin that causes:
coma, miosis, respiratory depression
narcotics
Identify the toxin that causes:
dry skin, decreased sweating, mydriasis, fever, confusion, urinary retention
anti-cholinergic
Identify the toxin that causes: salivation, lacrimation, diarrhea, emesis, urination
cholinergic (like sarin gas)
Identify the toxin that causes: dystonia
antipsychotics
suspect MetHb when-
central cyanosis that does not improve with 100% O2
treatment for MetHb
methylene blue
rapid development of non-cariogenic pulmonary edema with-
heroin
cholinergic antidote
atropine +2-PAM
antipsychotic antidote
benztropine
cyanide antidote (3)
sodium thiosulfate
sodium nitrate
hyroxocobalamin
digoxin antidote
digibind
methanol/ethylene glycol antidote (2)
ethanol
fomepizole
benzo antidote
flumazenil
acetaminophen antidote
N-acetylcysteine
opiate antidote
naloxone
anti-cholinergic antidote
physostigmine
heparin antidote
protamine sulfate
warfarin antidote
vit K1
