becoming a better Clinician
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)