Escolar Documentos
Profissional Documentos
Cultura Documentos
DEF
POISON
POISON CENTER
CIRCUMSTANCE OF POISONING
GENERAL MANAGEMENT
INVESTIGATIONS
DEF
CLASSIFICATION
ACCIDENTAL
SUICIDAL
HOMICIDAL
STANDARD SUPPORTIVE CARE
CLINICAL DIAGNOSIS
D ~ DECONTAMINATION
E ~ ENHANCE ELIMINATION
ANTIDOTE
SYMPTOMATIC
TOXICOLOGICAL ANALYSIS
NON TOXICOLOGICAL
MODE OF ACTION
SOURCE
ORG TOXICITY
PERIOD OF EXPOSURE
AMOUNT OF POISON
STATE
METHOD OF ADMIN.
STATE OF STOMACH
AGE OF PATIENT
STATE OF PATIENT HEALTH
TOLERANCE
IDIOSYNCRACY
SYNERGISM AND POTENTIATION
20-25%
40-45%
0-1%
A & B ~ CARE OF RESPIRATION
C ~ CARE OF CIRCULATION
NEUROLOGICAL STATUS
OCULAR
DERMAL
GIT
INDICATION
DIURESIS
DIALYSIS
LOCAL
PHYSIOLOGICAL
CORRECT ACID-BASE & WATER BALANCE
TREAT HYPOGLYCEMIA
CORRECT ELECTROLYTE IMBALANCE
CORRECT THERMAL DISTURBANCE
CATHETERIZATION
NURSING CARE
ATTEMPTED SUICIDE
SAMPLING
TYPE
LOCAL
REMOTE
DOUBLE
NATURAL
ARTIFICIAL
acute 24hr
subacute 24hr-1month
subchronic 1-3 month
chronic >3 month
gas>liquid>solid
i.V>inhalation>S.C>I.M>ingestion> mucous membrane
empty/full
type of food
disease
doubt poisoning in
EMESIS
GASTRIC LAVAGE
CATHARICS
FORCED FLUID
ALKALINE
PERITONEAL
HEMODALYSIS
HAEMOPERFUSION
PHYSICAL
CHEMICAL
acidosis
dehydration
<70mg/dL
hypokalemia
hyperkalemia
hypothermia/subnormal temp.
hyperthermia
oral hygiene
regular half hour turning of patient
half hour vital measurements
HOSPITALIZE
LIVING
DEAD
SCREENING
CONFIRMATORY
PaO2
PaCo2
gastrointestinal affection
skin affection
cardiovascular system affection
respiratory system affection
CNS affection
etc.
technique
indication
contraindication
technique
precaution
indication
contraindication
complication
action
contraindication
dose
advantage
indication
example
contraindication
solution
indication
contraindication
indication
contraindication
complication
disadvantage
contraindication
complication
indication
contraindication
complication
indication
precaution
complication
water
demulcents
powdered activated charcoal
cholstyramine
sodium bicarbonate
i.v dextrose
vomitus
blood
urine
colour test
spectrophotometry
immunological method
chromatography
gas chromatography
high performance liquid chromatography
gc/ms
atomic absorption spectrophotometry
<60mmHg
<50mmHg
mechanical
emetics
recent ingestion of poison
concious patient
poison that not adsorbed by charchoal
comatosed patient
corrosive posioning
kerosene poisoning
patient with convulsion
poisoning with drug that have anti emetic effect
poison causing depression
other
cuffed endotracheal tube in comatosed patient
remove dentures
put patient of left side with head at lower level than boddy
drowsy or comatosed patient
concious patient
corrosive posions
kerosene poison
patient with convulsion
drug swalloed for >6hr
shocked patient
chronic poisoning
other
pulmonary aspiration
perforation
epistaxis
adsorb the poison
corrosive poison, hydrocarbon
absence of bowel sound
sign of inestinal obstruction
alcohol,cyanide,heavy metal,corrosive, hydrocarbon
constipation and mechanical bowel obstruction
aspiration if introduced throufh stomach with unprotected airway with endotracheal tube
adsorption of physiological oral antidote
vomiting
1g/Kg/body weight or 50g in adult
rapid
charcoal is effective in inaccurate poison history
charcoal slurry can easily pass through pylorus which is primary site of drug absorption
prevent absorption
after absorption
magnesium sulphate
sodium sulphate
sorbitol
absence of bowel sound
intestinal obstruction
electrolyte imbalance
patients with diarrhea
polyethylene glycol
patient ingesting large quantities of sustained released tablet
poison that charcoal poorly adsorb
body packers
bowel obstruction
paralytic ilieus
hematemesis
peritionitis
water/electrolyte imbalance
protein loss
low molecular weight
low plasma protein binding
low lipd solubility
high water solubility
dialyzable poison
lethal blood level of poison
renal/hepatic insufficiency
prolonged comma
non dialyzable poison
patient is hemodynamically instable
spontaneous hemorrhage
hypotension
venous thrombosis
cardiac arrythmia
infection
high lipid bound/high lipid soluble poison
high dose administration of anticoagulants
hemorrhage
hypotension
hypoglycemia & hypocalcemia
infection
Hand/mechanical ventilation
syrup of ipecac
failed emesis
patient taking drug with antiemetic effect
theophylline