LAST MINUTE COMMON TOXIC SYNDROMES Flashcards

1
Q

10 grams is a lethal dose

induction of CIP2EI

this the treatment for acetaminophen overdose?

A

N-acetylcysteine

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2
Q

opioid overdose, decreases CNS activity, respiratory depression

A

naloxone (opioid antagonist)

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3
Q

BZD causes CNS depression

A

flumazenil

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4
Q

tricyclic antidepressants are one of the most common causes of life threatening drug overdoses

sedation, tachycardia, hypotension, seizures, dilated pupils\

inhibits cardiac sodium channels

A

sodium bicarbonate

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5
Q

what can beta blockers be treated with?

A

glucagon

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6
Q

amphetamine and other stimulants can be treated with?

1) seizures or agitation
2) respiratory
3) hypertension
4) hyperthermia

A

1) BZD
2) ventilatory support
3) antihypertensives (labetalol)
4) cooling

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7
Q

carbon monoxide poisoning is treated with?

A

100% oxygen

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8
Q

what can we create methanol and ethylene glycol sickness with?

A

ADH inhibitor: fomepizole

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9
Q

organophosphate poisoning can be treated with what drugs?`

A

atropine with pralidoxime (2PAM)

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10
Q

how do we use prophylaxis for organophosphate?

A

use pyridostigmine (reversible cholinesterase inhibitor) than once affected swap to atropine and 2 pam

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11
Q

inducer of CYP enzymes?

A
barbiturates
st johns wort
carbamazepine
rifampin
alcohol 
phenytoin
phenoxybenztoin
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12
Q

inhibitor of CYP enzymes?

A
grapefruit juice
macrolides
cimetidine
SSRIs
azoles
fluroquinolones
amiodorone
ritonavir
isoniazid
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13
Q

foods high in tyramine interact with what?

A

`MAOIs; antidepressant

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14
Q

food high in vitamin K interact with what?

A

warfarin

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15
Q

food rich in pyridoxine increases?

A

metabolize increase of levodopa (Parkinson’s)

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16
Q

why is grapefruit juice contraindicated?

A

inhibits CYP3A4 which affects metabolism of many drugs

17
Q

what does tabacco induce?

A

CYP1A2