Principles of Toxicologic Management

Principles of Toxicologic Management is a topic covered in the Pocket ICU Management.

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First Things First

  • ABC’s with Tox in mind:
    • A: airway, antidotes
    • B: breathing
    • C: circulation, c-spine
    • D: disability, decontamination
    • E: exposure, enhanced elimination
  • Remember the coma cocktail: “DON’T”
    • Dextrose: check peripheral glucose
      • 1 amp D50W IV for adults
      • 10 mL/kg of D10W IV for children
    • Oxygen: check O2 sats
    • Naloxone: for the opioid toxidrome
      • 0.4 mg IV/IM, titrate up based on adequacy of respirations
    • Thiamine: all malnourished patients, especially alcoholics
      • 100 mg IV

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Last updated: April 29, 2010

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TY - ELEC T1 - Principles of Toxicologic Management ID - 534191 Y1 - 2010/04/29/ BT - Pocket ICU Management UR - https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534191/all/Principles_of_Toxicologic_Management PB - PocketMedicine.com, Inc DB - Anesthesia Central DP - Unbound Medicine ER -