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Toxic Injestion (Clinical Signs & Symptoms (Nausea and vomiting,…
Toxic Injestion
Clinical Signs & Symptoms
Nausea and vomiting
Depends on the nature of the substance ingested
Coma
Hypothermia
Hypotension
Arrhythmia
Seizures
Hyperthermia
Agitation/confusion/obtundant
Cyanosis
Diagnostic Testing
Osmol gap
Serum osmolality
Electrolytes
Glucose
Creatinine
Blood urea nitrogen (BUN)
Serum acetaminophen and ethanol
Urinalysis
Electrocardiography
Respiratory Management
Intubate and mechanically ventilate
Resuscitation and stabilization come FIRST :!:
Other therapies
Charcoal
Gastric lavage
Dialysis
Supplemental Oxygen
Etiology
Intensional and accidental exposure to toxic substances
Cosmetic and personal care products, cleaning substances, analgesics, topical preparations, vitamins, pesticides, plants, antihistamines, gastrointestinal preparations, antimicrobials, arts/crafts/office supplies, hormone and hormone antagonists
Differential Diagnosis
Physical signs and symptoms
Toxicology screening
Pathophysiology
Tissue injury by chemical reaction