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PANCE Prep Pearls: 3rd Ed. (2019)
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Ingestion of Toxic Substances or Foreign Bodies

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PANCE Prep Pearls: 3rd Ed. (2019) | Physician Assistant (PA) School Study Aid

Ingestion of Toxic Substances or Foreign Bodies
13 Picmonics to Learn | 14 mins
Acetaminophen Antidote
Antidote
N-Acetylcysteine
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33 secs
Aspirin Poisoning (Salicylism) Assessment
Early Symptoms
Nausea and Vomiting
Tinnitus
Confusion
Hyperventilation
Respiratory Alkalosis
Late Symptoms
Metabolic Acidosis
Coma
Hyperthermia
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1 min
Iron Antidote
Antidote
DeFEroxamine
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23 secs
Tricyclic Antidepressant (TCA) Antidote
Antidote
Sodium Bicarbonate (NaHCO3)
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27 secs
Amphetamine Antidote
Antidote
Ammonium Chloride (NH4Cl)
Acidify Urine
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34 secs
Opioid Antidote
Antidote
Naloxone
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29 secs
Benzodiazepine Antidote
Antidote
Flumazenil
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40 secs
Beta Blocker Antidote
Antidote
Glucagon
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29 secs
Acute Digoxin Toxicity
Clinical Symptoms
Hyperkalemia
Cholinergic (Nausea, Vomiting, Diarrhea)
Blurry Yellow Green Vision with Halo of Light
Arrhythmia
Bradycardia
EKG Changes
Prolonged PR interval
Decreased QT
Scooping on EKG
T Wave Inversion
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2 mins
Digoxin Toxicity Treatment
Activated Charcoal
Slowly Normalize K+
Digibind (Anti-Digoxin Fab)
Magnesium Sulfate
Lidocaine
Cardiac Pacing
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2 mins
Methemoglobinemia Characteristics
Characteristics
Oxidized Iron in Hemoglobin
Decreased Affinity for Oxygen
Increased Affinity for Cyanide
Etiologies
Dietary Nitrates
Drugs
Nitroglycerin
Lidocaine
G6PD Deficiency
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2 mins
Warfarin Antidotes
Antidotes
Vitamin K
Fresh Frozen Plasma
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59 secs
Activated Charcoal (Actidose)
Mechanism
Binds to Toxins
Indications
Ingested Poison
Side Effects
Black Stool
GI Distress
Considerations
Give As Soon As Possible
Via Mouth or NG Tube
Gastric Lavage
Do Not Administer with Antidotes
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2 mins

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