Step 3 - EM/Toxicology

Question	Answer
When is gastric emptying helpful	first hour after an over dose to remove 50%, next hour only 15% is out and then it is useless
you cannot perform gastric emptying if acids or alkali are ingested	true
Never give ipecac to a patient with altered mentaiton due to aspiration risk; not to children either	true
what to order in a OD	naloxone, thiamie, glucose; antidote; tox screen, charcoal, CBC, chem, UA, psych consult, O2
tylenol OD	NAC
ASA OD	bicarb to alkalinize the urine
BDZ	flumazinil but it may ppt a seizure better support therapy
CO poison	oxygen
Dig tox	dig-abs
ethylene glycol	fomepizole/ ethanol and dialysis
Methanol posioning	fomepizole/ethanol or dialysis
Methhemoglobinemia	methylene blue
NMS antidote	bromocriptine, dantrolene
opiate OD	naloxone
organophosphate poison	atropine, pralidoxime
TCA OD	bicarbonate to protect the heart
if ASA toxicity order	CBC, chem, ABG, PT/INR/PTT, ASA level
ASA tox tx	alkalinze the urine, charcoal, dialysis
when does alkalinize the urine help to excrete the drug	ASA, TCA, phenobarb, chlorpropamide
presentation with SOB, lightheaded, HA, disoriented, metabolic acidosis	CO poisoning (feels better when he shovels the snow)- 100% O2
Dig toxicity	GI dist, any arrythmia, sees yellow halos, can be due to hypokalemia but causes hyperkalemia

Resource summary

	Created by Jaimie Shah about 11 years ago