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MISC TOXICOLOGY NOTES Cheat Sheet (DRAFT) by

This is a draft cheat sheet. It is a work in progress and is not finished yet.

COMMON SYMPTO­MATIC TREATMENT

AGITATION
Sedatives (ex. BZDs)
BRADYC­ARDIA
Atropine
Inotropes
SEIZURE
BZDs
HYPERT­ENSION
IV vasodi­lator
HYPOGL­YCEMIA
Dextrose
HYPOTE­NSION
IV fluids
Vasopr­essors
QRS WIDENING
Sodium bicarb­onate
SEDATION
Intubation - protects airway

CHOLIN­ERGIC OVERDOSE

S
Salivation
L
Lacrim­ation
U
Urination
D
Diarrhea
G
GI distress
E
Emesis

ANTICH­OLI­NERGIC OVERDOSE

RED AS A BEET
Flushing
DRY AS A BONE
Dry skin an mucous membranes
BLIND AS A BAT
Mydriasis with double or blurry vision
MAD AS A HATTER
Altered mental status
HOT AS A HARE
Fever
 

BITES AND STINGS

ANIMAL BITES
Rabies vaccine with
     
- RabAvert

     
- Imovax Rabies

Human rabies immune globulin
     
- HyperRAB

     
- Imograb Rabies HT
BLACK WIDOW SPIDER BITES
Antivenin
 - For Latrod­ectus mactans

Opioids - tx pain
BZDs - tx muscle spasms
SCORPION STINGS
Supportive care
Antivenin immune FAB centru­roides 
(Anascorp)
COPPERHEAD AND
RATTLE­SNAKE BITES
Crotalidae polyvalent immune FAB 
(CroFab)
CORAL SNAKE BITES
Antivenin Micrurus fulvius
RATTLE­SNAKE BITES
Crotalidae Immune F(ab')2 
(Anavip)
RABIES VACCINE:
Give vaccine and HRIG
Give vaccine: 1 ml IM or deltoid or thigh on days 0, 3, 7, 14
Give HRIG: 20 units/kg on day 0
HRIG is not useful after day 7 of vaccine or if they had it before
Clean wound with soap and water
Tetanus shot required if it has been at least 10 yrs since booster

SNAKE BITES:
Do not cut venom
Do not suck out venue
Do not ice
Transport to healthcare facility