NUR 623 (Adult_Gero Acute) MOD #1, toxicology Questions with CORRECT Answers (Grade A+)
Question 1:
pattern of clinical s/s associated with overdose of a specific toxic agent -may include prescription
drugs, illicit drugs, household chemicals, poisons
Answer:
toxidrome
Question 2:
with AMS, things to rule out before assuming overdose
Answer:
-sepsis -TBI -stroke/seizure -cerebral aneurysm -meningitis/encephalitis -DKA
Question 3:
toxidrome that causes:
-hyperthermia, tachycardia, tachypnea, HTN -hypervigilance, agitation, hallucination -mydriasis of
pupils -dry flushed skin, URINARY RETENTION
Answer:
anticholinergics -Atropine, antihistamines, TCA's, scopolamine, magic mushrooms
Question 4:
toxidrome that causes:
-bradycardia, bradypnea, hypotension -confusion and coma -miosis of pupils -SLUDGE (salivation,
lacrimation, urination, diarrhea, GI/emesis)
Answer:
cholinergics -organophosphates -cholinesterase inhibitors: physostigmine/neostigmine/donepezil
-nerve agents
Question 5:
toxidrome that causes:
-hypothermia, bradycardia, bradypnea, hypotension -CNS depression, coma -miosis of pupils
-pulmonary edema -resp. depression the big one
, Answer:
opioids -fentanyl, hydromorphone
Question 6:
toxidrome that causes:
-hypothermia, bradycardia, bradypnea, hypotension -CNS depression, coma, confusion -miosis of
pupils -hyporeflexia
Answer:
sedatives: -benzos, barbiturates, alcohol, Ambien/Lunesta
Question 7:
toxidrome that causes:
-hyperthermia, tachycardia, tachypnea, HTN -agitation, hyperalert, paranoia -mydriasis of pupils
-sweating, tremors, hyperreflexia, seizures
Answer:
sympathomimetics: -coke, amphetamines, pseudoephedrine, phenylephrine
Question 8:
toxidrome that causes:
-hyperthermia, tachycardia, tachypnea, hypertension -confusion, agitation -mydriasis of pupils
-tremors, diaphoresis
Answer:
serotonins: SSRI'S, MAOI's, tramadol, dextromethorphan
Question 9:
toxidrome that causes:
-hypotension, arrythmias
Answer:
neuroleptics: -Haldol, olanzapine, promethazine
Question 10:
most common cause of hepatic failure in US
Question 1:
pattern of clinical s/s associated with overdose of a specific toxic agent -may include prescription
drugs, illicit drugs, household chemicals, poisons
Answer:
toxidrome
Question 2:
with AMS, things to rule out before assuming overdose
Answer:
-sepsis -TBI -stroke/seizure -cerebral aneurysm -meningitis/encephalitis -DKA
Question 3:
toxidrome that causes:
-hyperthermia, tachycardia, tachypnea, HTN -hypervigilance, agitation, hallucination -mydriasis of
pupils -dry flushed skin, URINARY RETENTION
Answer:
anticholinergics -Atropine, antihistamines, TCA's, scopolamine, magic mushrooms
Question 4:
toxidrome that causes:
-bradycardia, bradypnea, hypotension -confusion and coma -miosis of pupils -SLUDGE (salivation,
lacrimation, urination, diarrhea, GI/emesis)
Answer:
cholinergics -organophosphates -cholinesterase inhibitors: physostigmine/neostigmine/donepezil
-nerve agents
Question 5:
toxidrome that causes:
-hypothermia, bradycardia, bradypnea, hypotension -CNS depression, coma -miosis of pupils
-pulmonary edema -resp. depression the big one
, Answer:
opioids -fentanyl, hydromorphone
Question 6:
toxidrome that causes:
-hypothermia, bradycardia, bradypnea, hypotension -CNS depression, coma, confusion -miosis of
pupils -hyporeflexia
Answer:
sedatives: -benzos, barbiturates, alcohol, Ambien/Lunesta
Question 7:
toxidrome that causes:
-hyperthermia, tachycardia, tachypnea, HTN -agitation, hyperalert, paranoia -mydriasis of pupils
-sweating, tremors, hyperreflexia, seizures
Answer:
sympathomimetics: -coke, amphetamines, pseudoephedrine, phenylephrine
Question 8:
toxidrome that causes:
-hyperthermia, tachycardia, tachypnea, hypertension -confusion, agitation -mydriasis of pupils
-tremors, diaphoresis
Answer:
serotonins: SSRI'S, MAOI's, tramadol, dextromethorphan
Question 9:
toxidrome that causes:
-hypotension, arrythmias
Answer:
neuroleptics: -Haldol, olanzapine, promethazine
Question 10:
most common cause of hepatic failure in US
