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Open navigation menu. Close suggestions Search Search. User Settings. Uploaded by Sourabh Pal. Save Save poisoning For Later. AI-enhanced title. Document Information click to expand document information Original Title poisoning. Did you find this document useful? Is this content inappropriate? Download now. Jump to Page. Search inside document. Poisoning is a major cause of death in young adults, usually before hospital admission. Accidental poisoning is also common in children and the elderly. In developing countries, self-harm with organophosphorus pesticides and herbicides is endemic, and frequently fatal. SSB Ne CO eee Triage obtain inormetin about item History The diagnosis of poisoning is usually apparent from the history, although occasionally patients may conceal information, or exagger- ate or deliberately mislead staff. Do te have ter etl conditions rule teat ments, us similar episodes or known allergies? Clinical examination p. The Glasg s. Certain classes of drug cause clusters of typical signs, e. Investigations Drug levels are a useful to guide treatment for some specific toxins, e. Dehydration should be corrected by careful fluid replacement, and metabolic acidosis treated with sufficient IV sodium bicarbonate 8. Activated charcoal and symptomatic treatment is usually sufficient. Rarely, patients have convulsions; these are usually self-limiting and seldom need treatment beyond airway pro- tection and oxygen. Activated charcoal is useful within 1 hr of ingestion, ECG. Selective serotonin re-uptake inhibitors in overdose: Cause nausea, tremor, insomnia and tachycardia but rarely lead to serious arrhythmia, and supportive treatment is usually sufficient. Lithium in overdose: Causes nausea, diarrhea, polyuria, weak- ness, ataxia, coma and convulsions. Charcoal is ineffective and haemodialysis is used in severe cases. Cardiovascular medications Beta-blockers: Cause bradycardia and hypotension. Overdose is treated using IV fluids, with atropine or isoprenaline to counteract, bradycardia. Calcium channel blockers: Cause hypotension and heart block in overdose. Flumazenil is a specific benzodiazepine antagonist that increases conscious level, but it carries the risk of convulsions and is contraindicated in those who have co-ingested TCAs, o have a history of seizures. Cocaine ises at high temperature and produces a rapid intense effect when smoked, sympathomimetic effects, including tachycardia and mydriasis, are common; and serious complications, including coronary artery spasm, myocardial infarction even with normal coronary arteries , ventricular arthyth- mias, convulsions, hypertension and stroke, may occur within 3 hrs of use. Benzodiazepines and IV nitrates should be used to treat chest pain or hypertension but B-blockers should be avoided. Coronary angiography may be required and acidosis should be corrected. Tolerance is common, leading regular users to sel ively higher doses. Management is supportive and directed at complications. Gamma hydroxybutyrate and gamma butyrolactone Gamma hydroxybutyrate GHB and gamma butyrolactone GBL are sedative agents with psychedelic and body-building effects. Users drink GHB solution until they achieve the desired effects. Toxic features include sedation, coma, hallucinations and hypo- tension. The sedative effects are potentiated by other depressants, eg. Mark Manson. Rating: 4 out of 5 stars. Brene Brown. Principles: Life and Work From Everand. Ray Dalio. Chris Voss. Rating: 4. Jesmyn Ward. Jeannette Walls. Angela Duckworth. Margot Lee Shetterly. Stephen Chbosky. Phil Knight. Ben Horowitz. Ashlee Vance. Bad Feminist: Essays From Everand. Roxane Gay. Stephen King. Siddhartha Mukherjee. Frank McCourt. Steve Jobs From Everand. Walter Isaacson. Sarah M. The World Is Flat 3. Thomas L. Rating: 3. Yes Please From Everand. Amy Poehler. Gilbert King. Garth Stein. Betty Smith. Doris Kearns Goodwin. Dave Eggers. Bob Woodward. John Adams From Everand. David McCullough. Jennifer Egan. Naomi Klein. Jay Sekulow. George Packer. Little Women From Everand. Louisa May Alcott.

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Milwaukee Drug Company, wholesale druggists : drugs, chemicals, patent medicines, foreign and domestic sundries, essential oil Page 1. Page 2. Page 3. Page 4. Page 5. Page 6. Page 7. Page 8. Page 9. Page Section 1. To the drug trade 4. Index 5. Index to advertisers 6. Advertisements 7. Part I. Drugs, chemicals and oils 8. Part II. Pharmaceutical and specialties 9. Part III. Soda fountain supplies Part IV. Paints and varnishes Part V. Liquors and cigars Part VII. Glassware-shop furniture Part VIII. Patent medicines and proprietary articles Introductory note Popular German names of domestic drugs and medicines Druggist sundries department Advertisements Search within the text search. Visual display of the Milwaukee Drug Company, wholesale druggists : drugs, chemicals, patent medicines, foreign and domestic sundries, essential oils, wines and liquors View text. View text.

Himos where can I buy cocaine