Poison Associated Acute Pulmonary Edema
Pulmonary edema is an abnormal accumulation of extravascular fluid in the lung parenchyma leading to diminished gas exchange at the alveolar level. The accumulation of fluids in the lungs may …
Read MoreNon-Specific Management
Poison Induced Seizures/ Agitation
• Rule out hypoglycemia using bed side random blood sugar (Green et al 2005) • In repeated seizures, benzodiazepines are the drug of choice. With benzodiazepines therapy one should be …
Read MoreHypoglycemic Crisis
CLINICAL MANIFESTATION • Serum glucose less than 3.3mmol/dl • All patients presenting with altered mentation should get a bedside blood glucose measurement • Overdose with long acting insulin such as …
Read MoreAlcohol Withdrawal Syndrome
Pathophysiology The severity of alcohol withdrawal symptoms are thought to result from genetic predisposition, the amount of alcohol taken daily and the duration of sustained ethanol use. Acute alcohol intoxication …
Read MoreHyperglycemia Hyperosmolar State
PATHOPHYSIOLIOLOGY. • Absolute or relative insulin deficiency causes inadequate control of blood glucose concentration leading to severe hyperglycemia, which overwhelms renal glucose homeostasis. CLINICAL MANIFESTATION. • Hyperglycemia with insignificant ketoacidosis …
Read More1. Poison Induced Hypersecretory State
Administer Iv atropine in cases of excess bronchial secretions associated with bradycardia Give in an age dependent dose as follows: ˂2 yrs: IV 0.02mg/kg q5min 2-10 yrs: IV 1-2mg q …
Read MoreChemical-Induced Hyperthermia (DIH)
Hyperthermia is defined as an uncontrolled rise of core body temperature above 38°C, at which temperature the human body is unable to lose heat. Chemical-induced hyperthermia is a hypermetabolic state …
Read MoreGENERAL MANAGEMENT
Introduction • A poison, also known as a toxic agent, is a substance (other than an infectious substance) that is harmful to human health if ingested, inhaled, injected, or absorbed …
Read MoreReferences for Non-Specific Management
• Simpson, WM, and Schuman, SH Recognition and Management of Acute Pesticide Poisoning. American Family Physician. Vol 65 (8) 2002 Pg 1599-1604 • Australian Resuscitation Council (ARC) and New Zealand …
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Clinical management of acute poisoning
If the patient presents early (less than 1 hr post ingestion), induce vomiting safely by ensuring the head is lower than the hips (Hansen and Feilberg, 1998) Administer activated charcoal …
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