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What is the mnemonic for Cholinergic OD?
What are the common offending substances?
- SLUDGE
- Salivation
- Lacrimation
- Urination
- Defecation
- Gastrointestinal Cramping
- Emesis/Bronchorrhea
Organophosphates (pesticides) and Carbamate
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How do we treat Organophosphate OD?
Atropine (increasing amounts dependent on symptoms) and Pralidoxime (2g)
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Describe the clinical picture of Serotonin Syndrome?
Difficult to distinguish from cocaine use.
AMS, Fever, tremor, hyperreflexia, ataxia, incoordination, diaphoresis, shivering
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What should you check for in the urine to confirm an ethylene glycol poisoning?
Oxalate Crystals, along with the metabolic acidosis the patient would have.
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What are the medications that would truly benefit from activated charcoal?
Which medications are of little benefit?
- Benefit: Bblockers, CCB, TCA
- No absorbtion from charcoal includes:
- acids and alkalies, lithium, borates, hydrocarbons, metals (iron)
- and ETHANOL
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