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Autonmic syndromes
Tox lecture 1
Term | Definition |
---|---|
AIRWAY (pi) | • Check gag/cough reflex • Position patient • Clear/suction airway • Endotracheal intubation? (p 4) |
BREATHING (p 5) | • Obtain arterial blood gases • Assist with bag/mask device • Give supplemental oxygen • Ventilatory failure? (p 5) • Hypoxia? (p 6) • Bronchospasm? (p7) |
CIRCULATION (p B) | • Measure blood pressure/pulse • Monitor electrocardiogram • Start 1-2 IV lines • Obtain routine bloodwork • Bradycardia/AV block? • Prolonged QRS Interval? • Tachycardia? • Ventricular arrhythmias? • Hypotension? • Severe hypertension |
Altered Mental Status | • Recognize/treat hypoglycemia • Monitor rectal temperature • Consider organic causes • Treat seizures • Control agitation • Coma or stupor? (p 18) • Hypothermia? <p 20) • Hyperthermia • Seizures? (p 22) • Agitation? |
OTHER COMPLICATIONS | • Check urine myoglobin • Obtain allergy history • Dystonia • Ridgidity • Allergy or anaphylaxis? |
DIAGNOSIS OF POISONING | • Physical examination • Essential laboratory tests • Osmolar gap? • Anion gap acidosis? • Hyper/hypoglycemia? • Hyper/hypo-natremla? • Hyper/hypo-kalemia? • Renal failure? • Liver failure? • Toxicology screening? • Abdominal x-ray? |
DECONTAMINATION (p 4S) | • Wash skin and irrigate eyes • Emesis or gastric lavage • Charcoal and cathartic • Hazardous materials? (p 563) |
ENHANCED ELIMINATION (p 53) | • Hemodialysis • Hemoperfuslon • Repeat-dose charcoal |
DISPOSITION (p 56) | • Toxicology consultation • Psychosocial evaluation • Regional poison center consultation [(800)222-1222 |