5. TREATMENT
® ABC’s
® Treat Other Injuries
® Decontamination
® Supportive Care
® Definitive Care
® Antidotes
® Elimination
6. DECONTAMINATION:
IPECAC
® Absorption Reduced By 30%
® Interferes With Further
Decontamination
® Interferes With Further Treatment
® Home Use
® NOEMERGENCY DEPARTMENT
USE!
7. DECONTAMINATION:
GASTRIC LAVAGE
® 250 - 300 cc Aliquots Of Fluid
® 36 - 40F Tube
® Advantages
® Immediate Recovery Of Gastric
Contents
® Direct access For Charcoal Instillation
® LeftLateral Decubitus With
Trendelenburg
® Intubation May Be Needed
24. TOXIDROMES: CASE 1
25 Year Old PA Student Just
Back From Spring Break In
Mexico. He's Been Having
Terrible Diarrhea Since Returning
and Has Been Using Pills to
Alleviate the Symptoms.
25. TOXIDROMES: CASE 1
® Dry Skin And Mucous Membranes
® Thirst
® Blurred Vision
® Fixed Dilated Pupils
® Flushing
® Urinary Urgency And Retention
® Hallucinations
26. TOXIDROMES: CASE 1
® Anticholinergic
®Hot As Hades
®Blind As A Bat
®Dry As A Bone
®Red As A Beet
®Mad As A Hatter
27. TOXIDROMES: CASE 1
® Belladonna Alkaloids
® Atropine/Scopolamine
® Scopolamine
® Synthetic Anticholinergics
® Dicyclomine
® Other
® Antihistamines/Phenothiazines/TCA
49. SALICYLATES
TOXIC DOSE
® Done Nomogram
® Acute, Single Ingestion
® Cannot Use For:
® Acute Ingestion With Salicylate Taken
Within Last 24 Hours
® Chronic Salicylate Poisoning
® Ingestion Of Enteric Coated Tablets
® Treat Patient If Symptomatic