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Study of adverse effects of agents (chemical, biological, or physical) on living system |
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toxic substances produced by biological systems |
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Toxic substances produced by human activities |
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"Toxicologic syndromes" Group of signs and symptoms associated w/ specific toxic agent |
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expected frequency of occurence of undesireable effect from exposure to chemical of physical agent |
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ability of chemical agent to cause injury in given situation or setting |
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single exposure or multiple exposures w/in 1-2 days |
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Continuous exposure or Multiple exposures for longer than a few days (1-3 months may be considered subchronic) |
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Additive effect from exposure to 2 or more chemicals |
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Form Synergism- a chemical itself has no effect, but it increases the toxicity of another |
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Ratio btw toxic dose and and therapeutic dose |
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Airway-cleared of obstruction Breathing- adequacy assessed, supported Circulation- assess Dextrose- given in pts w/ altered mental status |
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What should alcoholic or malnourished pts also be given |
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Thiamine prevents Werneke's encephalopathy |
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What drug given if Opiod OD suspected |
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What drug given for Benzodiazepine OD |
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-Vitals -Eyes -Mouth -Skin -Abdomen -Nervous System |
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What labs and x-rays done in poisoned pts |
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-ABG -Electrolytes -Renal Fxn test -Serum Osmolality -Electrocardiogram -Xray |
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-Skin -GI emesis, gastric lavage, catharsis, activated charcoal |
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How enhance elimination of toxicants |
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-Change urinary pH -dialysis -Hemoperfusion |
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Mechanism Antidotes can employ |
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1. Bind to toxin and inactivate it 2. Block critical receptor 3. Change toxicant metabolism 4. Reverse biochemical damage |
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Snake or Spider envenomation |
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Cholinesterase Inhibitors, muscarinic mushrooms, Beta Antagonists, digoxin and cardiac glycosides |
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Digoxine, Digitoxin, etc. |
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Digoxin specific anti-body |
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Arsenic, mercury, gold, lead |
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Methanol and ethylene glycol |
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Carbon Monoxide, cyanide, hydrogen sulfide |
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Organophosphate pesticides |
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