Poisonings

Miosis

Mydriasis

Common causes of miosis

Common causes of mydriasis

Initial Management of all poisonings

PE of carbon monoxide poisoning

PE of methemoglobinemia or hypoxemia

Anticholinergic poisoning

Toxidromes

Cholinergic Poisoning:
muscarinic signs

Cholinergic poisonings:
nicotinic signs

Opioid Poisoning

Sympathomimetic poisoning

Prolonged QRS

Elevated serum osmolal gap (greater than 10)
(Calculates expected serum osmolarity, for comparison to measured osmolarity to detect unmeasured compounds in the serum:
(2 x Na) + glucose + urea

High Anion Gap

Radiopaque on Xray

Acetaminophen Toxicity
- when to get acetaminophen levels
- when should antidote be started
- trend which labs