TOXICOLOGY Overview

parasympathetic
(downer)

OPIOID

  • benzo

  • barbiturate

  • alcohol

Treatment

  • Naloxone IV or gtt

SEDATIVE-HYPNOTIC

  • benzo

  • barbiturate

  • alcohol

Treatment

  • supportive

  • flumazenil

Salivation

Lacrimation

Urination

Diarrhea

GI dysmotility

Emesis

-  or  -

DUMBBELLS

"WET EVERYWHERE"

Tx

* atropine

* pralidoxime (2PAM)

sympathetic
(upper)

ANTI-CHOLINERGIC

  • anti-histamine

  • anti-muscarinic

PE

  • delirium

  • hyperthermia

Treatment

  • bicarb (QRS prolongation)

  • physostigmine

Mad as a hatter

Blind as a bat (Mydriasis)

Red as a beet (flushed skin)

Hot as a hare (dry skin)

Dry as a bone

"DRY EVERYWHERE"

Tx

* Physostigmine 

parasympathetic
(downer)

sympathetic
(upper)

Mad as a hatter

Blind as a bat (Mydriasis)

Red as a beet (flushed skin)

Hot as a hare (dry skin)

Dry as a bone

"DRY EVERYWHERE"

Tx

* Physostigmine 

Salivation

Lacrimation

Urination

Diarrhea

GI dysmotility

Emesis

-  or  -

DUMBBELLS

' bodily fluid everywhere"

Tx

* atropine

* pralidoxime (2PAM)