15 Questions
What is the first step when a patient is covered in a toxic contaminant?
Conduct decontamination followed by resuscitation
For which of the following substances is activated charcoal not effective?
Metals
Which of the following conditions requires whole-bowel irrigation?
Lithium ingestion
Which of the following substances can be removed with hemodialysis?
Alcohols
What is the recommended approach when there is concern for secondary contamination from a caustic or other chemical?
Use copious amounts of water or 0.9% sodium chloride to decontaminate the skin and eyes
What is the recommended treatment for QRS widening suggestive of sodium channel blockade agent poisoning?
Sodium bicarbonate 8.4% 1-2 mEq/kg intravenous push as a bolus
What is the recommended initial treatment for hypotension/shock due to calcium channel or beta blocker toxicity?
Give an isotonic crystalloid bolus intravenously at a dose of 20 mL/kg
In undifferentiated poisoned patients, what is the recommended non-depolarizing paralytic for rapid sequence intubation (RSI)?
Rocuronium
What is the recommended dose of 50% dextrose for hypoglycemia?
25 g intravenously
In patients with bradycardia and hypotension, which type of poisoning should be considered as a possible cause?
Beta blocker poisoning
What is the recommended initial treatment for hypotension/shock due to calcium channel or beta blocker toxicity?
Administer a direct-acting vasopressor (eg, norepinephrine) if hypotension is refractory to intravenous fluids
For which of the following conditions should intramuscular, intraosseous, and intranasal options be considered if IV access is not immediately available?
Hypotension/shock due to calcium channel or beta blocker toxicity
What is the recommended non-depolarizing paralytic for rapid sequence intubation (RSI) in undifferentiated poisoned patients?
Rocuronium
What should be administered for QRS widening suggestive of sodium channel blockade agent poisoning?
Sodium bicarbonate 8.4% 1-2 mEq/kg intravenous push as a bolus
What is the recommended first step when a patient covered in a toxic contaminant is unable to protect their airway?
Establish an early definitive airway
Test your knowledge of decontamination and hemodialysis concepts with this quiz. Topics include toxic contaminant decontamination, use of ipecac, gastric lavage, activated charcoal, and whole-bowel irrigation.
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