Principles of Toxicologic Management
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-- The first section of this topic is shown below --
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
- Dextrose: check peripheral glucose
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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
- Dextrose: check peripheral glucose
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