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By Carson R. Harris MD
The Toxicology instruction manual offers you easy accessibility to universal ingestions you are prone to see within the Emergency division. Chapters protecting insecticides, Cardiovascular medicinal drugs, medicinal drugs of Abuse, and lots of extra placed crucial subject matters correct at your fingertips. every one bankruptcy follows an identical association, making info speedy and straightforward to find.Bulletted layout makes info effortless to entry and readChapters stick to an analogous association - advent and assessment, ingredients, Toxicity and medical Presentation, Laboratory review, therapy, certain issues, Admission Criteria/Disposition, Pearls and Pitfalls, References/Suggested Readings - helps you to locate info quicklyFull of scientific pearls, together with Toxicology Mnemonics and Acronyms, The Toxicology Lab, Antidotes, road Names for medicines of Abuse, and more!Chapters logically equipped by means of forms of drug like insecticides, Cardiovascular medicinal drugs, and medication of Abuse for ease of use.
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Fluvoxamine may present with bradycardia. Monitor for CNS depression and seizures. Chemistry panel, acetaminophen Acetaminophen is readily available and can be a killer if the antidote is not given in time (see Chapter 2). Consider pregnancy test. Creatine kinase (CK) (consider rhabdomyolysis, especially with “tea-colored” urine and elevated K). indd 30 Provide supportive care. Address ABCs. 9/19/06 7:41:10 AM Chapter Three ● ● ● Antidepressants 31 If mental status is altered or seizing, consider SNOT (sugar, naloxone, oxygen, thiamine).
Linden C, Rumack BH: Acetaminophen overdose. Emerg Med Clin North Am 2: 103-119, 1984. indd 20 9/26/06 7:48:43 PM Chapter Two ● Acetaminophen 21 4. Watson WA, Litovitz TL, Rodgers GC Jr, et al. 2004 Annual report of the American Association of Poison Control Centers Toxic Exposure Surveillance System. Am J Emerg Med 23(5):589-666, 2005. 5. Rumack BH. Acetaminophen hepatotoxicity: the first 35 years. J Toxicol Clin Toxicol 40(1):3-20, 2002. indd 21 9/26/06 7:48:43 PM C h a p t e r 3 Antidepressants Chanah DeLisle Overview Prescribed as effective treatments for illnesses such as depression and anxiety disorders and therefore readily accessible to patients at risk for suicide, antidepressant medications are the second leading cause of overdose mortality.
Indd 42 9/19/06 7:42:07 AM C h a p t e r 5 Atypical Antipsychotics Kathleen A. Neacy and Carson R. S. market within the last 20 years as replacements for traditional antipsychotics such as thioridazine, haloperidol, perphenazine, and chlorpromazine. , flat affect, social withdrawal), obsessivecompulsive disorder (OCD), refractory psychoses, mood disorders, and some cases of borderline personality disorder. Atypical antipsychotics are more selective D2 antagonists with highest affinity in the mesolimbic receptors.