Kier poison prevention and toxicology

leading causes of poisoning

medications, household products, illicit substances

poison control phone number

1-800-222-1222

benefits of poison control centers

reduce morbidity, mortality and healthcare costs

examples of poison prevention strategies

bitter agents, public education via social media, AARP, and TIPP, community engagement and education for caregivers

when someone contacts you that there may be a poisoning event what approach should you use

the wheel

what info should be collected from a poisoning event

symptoms, substance, timing, route

what should you assess in a poisoning event

severity, risks, red flags

what planning can be done in a poisoning event

call 911, give naloxone, consult PCC

what can be implemented from a poisoning event

engage care team, refer for medication safety

what should be followed-up on in a poisoning event

monitor symptoms, reassess home safety

what is NOT recommended in a poisoning event

ipecac/vomiting

activated charcoal should be used withing __

one hour

when is urine alkalinization indicated

salicylates, phenobarbital

when is whole bowel irrigation indicated

SR products or drug packets

antidote for opioids

naloxone/nalmefene

antidote for acetaminophen

acetylcysteine

antidote for BZD

flumazenil

antidote for iron

flumazenil

antidote for organophosphates

atropine/pralidoxime

antidote for digoxin

digibind

antidote for methemoglobinemia

methylene blue

antidote for radioactive iodine

potassium iodide

acetaminophen toxicity stages range from __

1 (asymptomatic) to 5 (hepatic failure)

best outcomes for acetaminophen poisoning if the antidote is given within __

8 hours

symptoms of CCB toxicity

bradycardia, hypotension, hyperglycemia

CCB toxicity management

IV calcium, insulin/dextrose, vasopressors, lipid emulsion in severe cases

symptoms of beta blocker overdose

bradycardia, hypoglycemia, altered mental status

treatment of beta blocker overdose

support airway, albuterol if bronchospasm, gastric lavage/activated charcoal, BZD for seizure, sodium bicarb for QRS widening, mag sulfate for QTC prolongation, glucagon 10 mg bolus and continuous infusion

anticholinergic toxicity symptoms

mydriases, dry mouth, hallucinations, flushing, hyperthermia, ileus

anticholinergic toxicity treatment

ECG monitoring, physostigmine and atropine, supportive care and electrolyte/glucose monitoring

tricyclic antidepressant overdose symptoms

arrhythmia, widened PR/QRS/QT, hypotension, seizures, delirium

TCA overdose treatment

supportive care, monitor vitals closely

serotonin toxicity risk

serotonin syndrome

risk of serotonin toxicity __in combo with other serotonin drugs

increases

severe serotonin toxicity cases may require __

intubation, temperature and seizure control

serotonin syndrom offending agents

SSRI + tramadol, fentanyl, linezolid, MAOI, MDMA

cannabis intoxication symptoms

acute psychosis, panic, paranoia, impaired motor skills

cannabis hyperemesis syndrome categories

prodromas, hyperemetic, recovery

treatment of cannabis intoxication

IV fluids, antiemetics, cessation of cannabis