Drug Overdose Poisoning - Revision history

Treloars at 13:43, 24 April 2020

2020-04-24T13:43:09Z

Treloars at 12:33, 24 April 2020

2020-04-24T12:33:16Z

← Older revision		Revision as of 12:33, 24 April 2020
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	** If Torsades de Pointes administer [[Electrolytes\|MAGNESIUM SULFATE]] 2 gm, IV bolus (if no renal disease).		** If Torsades de Pointes administer [[Electrolytes\|MAGNESIUM SULFATE]] 2 gm, IV bolus (if no renal disease).
	* For Antipsychotics and Acute Dystonic Reaction,		* For Antipsychotics and Acute Dystonic Reaction,
	** Administer [[~~Antihistamines~~\|DIPHENHYDRAMINE]] (BENADRYL) 25 mg IV bolus.		** Administer [[Diphenhydramine\|DIPHENHYDRAMINE]] (BENADRYL) 25 mg IV bolus.
	** If there is an inadequate response, repeat in 10 minutes.		** If there is an inadequate response, repeat in 10 minutes.
	* For Calcium Channel blockers,		* For Calcium Channel blockers,

Treloars at 00:41, 24 April 2020

2020-04-24T00:41:01Z

← Older revision		Revision as of 00:41, 24 April 2020
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	* Obtain and record blood sugar level and refer to [[Hypo or Hyperglycemia\|HYPO / HYPERGLYCEMIA PRACTICE PARAMETERS]] (5.10), as indicated.		* Obtain and record blood sugar level and refer to [[Hypo or Hyperglycemia\|HYPO / HYPERGLYCEMIA PRACTICE PARAMETERS]] (5.10), as indicated.
	* If altered sensorium, refer to [[Altered Mental Status (AMS)\|ALTERED MENTAL STATUS PRACTICE PARAMETER]] (5.03).		* If altered sensorium, refer to [[Altered Mental Status (AMS)\|ALTERED MENTAL STATUS PRACTICE PARAMETER]] (5.03).
	* IF CORROSIVE INGESTION, administer an [[~~Antiemetics~~\|~~Antiemetic~~]] medication as appropriate.		* IF CORROSIVE INGESTION, administer [[Promethazine\|PROMETHAZINE]] OR [[Zofran\|ZOFRAN]] medication as appropriate.
	* For tricyclic and tetracyclic antidepressant overdose:		* For tricyclic and tetracyclic antidepressant overdose:
	** If wide complexes (QRS >0.10 sec), hypotension and any other arrhythmias, Administer [[Electrolytes\|SODIUM BICARBONATE]], 1 meq/kg IVP. Repeat in 5 or 10 minutes.		** If wide complexes (QRS >0.10 sec), hypotension and any other arrhythmias, Administer [[Electrolytes\|SODIUM BICARBONATE]], 1 meq/kg IVP. Repeat in 5 or 10 minutes.

Treloars at 00:20, 24 April 2020

2020-04-24T00:20:45Z

Treloars at 23:35, 23 April 2020

2020-04-23T23:35:44Z

← Older revision		Revision as of 23:35, 23 April 2020
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	**For patients with cardiovascular toxicity, as manifested by one or more of the following:		**For patients with cardiovascular toxicity, as manifested by one or more of the following:
	***Hemodynamically significant bradycardia or HB , including 3° HB and high grade 2° HB		***Hemodynamically significant bradycardia or HB , including 3° HB and high grade 2° HB
	**** Administer [[~~Antiarrhythmics~~\|ATROPINE]] 0.5 mg IV, may repeat x 2 if no response.		**** Administer [[Atropine\|ATROPINE]] 0.5 mg IV, may repeat x 2 if no response.
	**** If no response, [[Electrolytes\|CALCIUM CHLORIDE]] 1 gm IV, If no response, repeat x 1		**** If no response, [[Electrolytes\|CALCIUM CHLORIDE]] 1 gm IV, If no response, repeat x 1
	**** If no response, [[Antidiabetics\|GLUCAGON]] 3 mg IV or IN, If no response, repeat x 1		**** If no response, [[Antidiabetics\|GLUCAGON]] 3 mg IV or IN, If no response, repeat x 1
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	**For patients with cardiovascular toxicity, as manifested by one or more of the following:		**For patients with cardiovascular toxicity, as manifested by one or more of the following:
	***Hemodynamically significant bradycardia or HB, including 3° HB and high grade 2° HB		***Hemodynamically significant bradycardia or HB, including 3° HB and high grade 2° HB
	****Administer [[~~Antiarrhythmics~~\|ATROPINE]] 0.5 mg IV, may repeat x 2 if no response.		****Administer [[Atropine\|ATROPINE]] 0.5 mg IV, may repeat x 2 if no response.
	****If no response, [[Antidiabetics\|GLUCAGON]] 2 mg IV or IN, If no response, repeat x 1		****If no response, [[Antidiabetics\|GLUCAGON]] 2 mg IV or IN, If no response, repeat x 1
	****If no response begin [[Transcutaneous Pacing Procedure\|Transcutaneous Pacing]] (TCP) (9.30)		****If no response begin [[Transcutaneous Pacing Procedure\|Transcutaneous Pacing]] (TCP) (9.30)

Treloars at 02:02, 31 January 2018

2018-01-31T02:02:54Z

← Older revision		Revision as of 02:02, 31 January 2018
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	[[Category:Medical]]		[[Category:Medical\|0505]]

Treloars: /* Section 5 -MEDICAL */

2012-04-02T01:44:39Z

Section 5 -MEDICAL

← Older revision		Revision as of 01:44, 2 April 2012
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	====Physician's Order: POISON CONTROL INFORMATION and subsequent treatment.====		====Physician's Order: POISON CONTROL INFORMATION and subsequent treatment.====


			[[Category:Medical]]

Treloars: /* 5.05 DRUG OVERDOSE / POISONING */

2012-03-18T11:57:08Z

5.05 DRUG OVERDOSE / POISONING

← Older revision		Revision as of 11:57, 18 March 2012
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	* Obtain and record blood sugar level and refer to [[Hypo or Hyperglycemia\|HYPO / HYPERGLYCEMIA PRACTICE PARAMETERS]] (5.10), as indicated.		* Obtain and record blood sugar level and refer to [[Hypo or Hyperglycemia\|HYPO / HYPERGLYCEMIA PRACTICE PARAMETERS]] (5.10), as indicated.
	* If altered sensorium, refer to [[Altered Mental Status (AMS)\|ALTERED MENTAL STATUS PRACTICE PARAMETER]] (5.03).		* If altered sensorium, refer to [[Altered Mental Status (AMS)\|ALTERED MENTAL STATUS PRACTICE PARAMETER]] (5.03).
	* IF CORROSIVE INGESTION, administer an [[Antiemetic]] medication as appropriate.		* IF CORROSIVE INGESTION, administer an [[Antiemetics\|Antiemetic]] medication as appropriate.
	* For tricyclic and tetracyclic antidepressant overdose:		* For tricyclic and tetracyclic antidepressant overdose:
	** If wide complexes (QRS >0.10 sec), hypotension and any other arrhythmias, Administer [[Electrolytes\|SODIUM BICARBONATE]], 1 meq/kg IVP. Repeat in 5 or 10 minutes.		** If wide complexes (QRS >0.10 sec), hypotension and any other arrhythmias, Administer [[Electrolytes\|SODIUM BICARBONATE]], 1 meq/kg IVP. Repeat in 5 or 10 minutes.

Treloars: Created page with "== Section 5 -MEDICAL == === 5.05 DRUG OVERDOSE / POISONING === INITIAL MEDICAL CARE (2.01) - Provide OXYGEN or assist ventilations a..."

2012-01-31T19:18:43Z

Created page with "== Section 5 -MEDICAL == === 5.05 DRUG OVERDOSE / POISONING === INITIAL MEDICAL CARE (2.01) - Provide OXYGEN or assist ventilations a..."

New page

== Section 5 -MEDICAL ==
=== 5.05 DRUG OVERDOSE / POISONING ===

[[Initial Medical Assessment and Care|INITIAL MEDICAL CARE]] (2.01) - Provide OXYGEN or assist ventilations as appropriate for patient condition.
* DRAW BLOOD TUBES (9.03), if available.
* Obtain and record blood sugar level and refer to [[Hypo or Hyperglycemia|HYPO / HYPERGLYCEMIA PRACTICE PARAMETERS]] (5.10), as indicated.
* If altered sensorium, refer to [[Altered Mental Status (AMS)|ALTERED MENTAL STATUS PRACTICE PARAMETER]] (5.03).
* IF CORROSIVE INGESTION, administer an [[Antiemetic]] medication as appropriate.
* For tricyclic and tetracyclic antidepressant overdose:
** If wide complexes (QRS >0.10 sec), hypotension and any other arrhythmias, Administer [[Electrolytes|SODIUM BICARBONATE]], 1 meq/kg IVP. Repeat in 5 or 10 minutes.
** If Torsades de Pointes administer [[Electrolytes|MAGNESIUM SULFATE]] 2 gm, IV bolus (if no renal disease).
* For Antipsychotics and Acute Dystonic Reaction,
** Administer [[Antihistamines|DIPHENHYDRAMINE]] (BENADRYL) 25 mg IV bolus.
** If there is an inadequate response, repeat in 10 minutes.
* For Calcium Channel blockers,
**For patients with cardiovascular toxicity, as manifested by one or more of the following:
***Hemodynamically significant bradycardia or HB , including 3° HB and high grade 2° HB
**** Administer [[Antiarrhythmics|ATROPINE]] 0.5 mg IV, may repeat x 2 if no response.
**** If no response, [[Electrolytes|CALCIUM CHLORIDE]] 1 gm IV, If no response, repeat x 1
**** If no response, [[Antidiabetics|GLUCAGON]] 3 mg IV or IN, If no response, repeat x 1
**** If no response, begin [[Transcutaneous Pacing Procedure|TRANSCUTANEOUS PACING]] (TCP). (9.30)
***If hypotension give 200 – 300 cc NS bolus, repeat as needed.
**** Administer [[Electrolytes|CALCIUM CHLORIDE]] 1 gm IV, may repeat x 1. Avoid if patient is on digoxin/lanoxin.
**** Administer [[Antidiabetics|GLUCAGON]] 2 mg IV or IN, may repeat x 1.
* For Beta blockers:
**For patients with cardiovascular toxicity, as manifested by one or more of the following:
***Hemodynamically significant bradycardia or HB, including 3° HB and high grade 2° HB
****Administer [[Antiarrhythmics|ATROPINE]] 0.5 mg IV, may repeat x 2 if no response.
****If no response, [[Antidiabetics|GLUCAGON]] 2 mg IV or IN, If no response, repeat x 1
****If no response begin [[Transcutaneous Pacing Procedure|Transcutaneous Pacing]] (TCP) (9.30)
***If hypotension
****200 – 300 cc NS bolus, repeat as needed.
****Administer [[Antidiabetics|GLUCAGON]] 2 mg IV or IN, may repeat x 1.

====Physician's Order: POISON CONTROL INFORMATION and subsequent treatment.====

← Older revision		Revision as of 13:43, 24 April 2020
Line 8:		Line 8:
	* IF CORROSIVE INGESTION, administer [[Promethazine\|PROMETHAZINE]] OR [[Zofran\|ZOFRAN]] medication as appropriate.		* IF CORROSIVE INGESTION, administer [[Promethazine\|PROMETHAZINE]] OR [[Zofran\|ZOFRAN]] medication as appropriate.
	* For tricyclic and tetracyclic antidepressant overdose:		* For tricyclic and tetracyclic antidepressant overdose:
	** If wide complexes (QRS >0.10 sec), hypotension and any other arrhythmias, Administer [[~~Electrolytes~~\|SODIUM BICARBONATE]], 1 meq/kg IVP. Repeat in 5 or 10 minutes.		** If wide complexes (QRS >0.10 sec), hypotension and any other arrhythmias, Administer [[Sodium Bicarbonate\|SODIUM BICARBONATE]], 1 meq/kg IVP. Repeat in 5 or 10 minutes.
	** If Torsades de Pointes administer [[~~Electrolytes~~\|MAGNESIUM SULFATE]] 2 gm, IV bolus (if no renal disease).		** If Torsades de Pointes administer [[Magnesium Sulfate\|MAGNESIUM SULFATE]] 2 gm, IV bolus (if no renal disease).
	* For Antipsychotics and Acute Dystonic Reaction,		* For Antipsychotics and Acute Dystonic Reaction,
	** Administer [[Diphenhydramine\|DIPHENHYDRAMINE]] (BENADRYL) 25 mg IV bolus.		** Administer [[Diphenhydramine\|DIPHENHYDRAMINE]] (BENADRYL) 25 mg IV bolus.
Line 17:		Line 17:
	***Hemodynamically significant bradycardia or HB , including 3° HB and high grade 2° HB		***Hemodynamically significant bradycardia or HB , including 3° HB and high grade 2° HB
	**** Administer [[Atropine\|ATROPINE]] 0.5 mg IV, may repeat x 2 if no response.		**** Administer [[Atropine\|ATROPINE]] 0.5 mg IV, may repeat x 2 if no response.
	**** If no response, [[~~Electrolytes~~\|CALCIUM CHLORIDE]] 1 gm IV, If no response, repeat x 1		**** If no response, [[Calcium Chloride\|CALCIUM CHLORIDE]] 1 gm IV, If no response, repeat x 1
	**** If no response, [[Glucagon\|GLUCAGON]] 3 mg IV or IN, If no response, repeat x 1		**** If no response, [[Glucagon\|GLUCAGON]] 3 mg IV or IN, If no response, repeat x 1
	**** If no response, begin [[Transcutaneous Pacing Procedure\|TRANSCUTANEOUS PACING]] (TCP). (9.30)		**** If no response, begin [[Transcutaneous Pacing Procedure\|TRANSCUTANEOUS PACING]] (TCP). (9.30)
	***If hypotension give 200 – 300 cc NS bolus, repeat as needed.		***If hypotension give 200 – 300 cc NS bolus, repeat as needed.
	**** Administer [[~~Electrolytes~~\|CALCIUM CHLORIDE]] 1 gm IV, may repeat x 1. Avoid if patient is on digoxin/lanoxin.		**** Administer [[Calcium Chloride\|CALCIUM CHLORIDE]] 1 gm IV, may repeat x 1. Avoid if patient is on digoxin/lanoxin.
	**** Administer [[Glucagon\|GLUCAGON]] 2 mg IV or IN, may repeat x 1.		**** Administer [[Glucagon\|GLUCAGON]] 2 mg IV or IN, may repeat x 1.
	* For Beta blockers:		* For Beta blockers:

← Older revision		Revision as of 00:20, 24 April 2020
Line 18:		Line 18:
	**** Administer [[Atropine\|ATROPINE]] 0.5 mg IV, may repeat x 2 if no response.		**** Administer [[Atropine\|ATROPINE]] 0.5 mg IV, may repeat x 2 if no response.
	**** If no response, [[Electrolytes\|CALCIUM CHLORIDE]] 1 gm IV, If no response, repeat x 1		**** If no response, [[Electrolytes\|CALCIUM CHLORIDE]] 1 gm IV, If no response, repeat x 1
	**** If no response, [[~~Antidiabetics~~\|GLUCAGON]] 3 mg IV or IN, If no response, repeat x 1		**** If no response, [[Glucagon\|GLUCAGON]] 3 mg IV or IN, If no response, repeat x 1
	**** If no response, begin [[Transcutaneous Pacing Procedure\|TRANSCUTANEOUS PACING]] (TCP). (9.30)		**** If no response, begin [[Transcutaneous Pacing Procedure\|TRANSCUTANEOUS PACING]] (TCP). (9.30)
	***If hypotension give 200 – 300 cc NS bolus, repeat as needed.		***If hypotension give 200 – 300 cc NS bolus, repeat as needed.
	**** Administer [[Electrolytes\|CALCIUM CHLORIDE]] 1 gm IV, may repeat x 1. Avoid if patient is on digoxin/lanoxin.		**** Administer [[Electrolytes\|CALCIUM CHLORIDE]] 1 gm IV, may repeat x 1. Avoid if patient is on digoxin/lanoxin.
	**** Administer [[~~Antidiabetics~~\|GLUCAGON]] 2 mg IV or IN, may repeat x 1.		**** Administer [[Glucagon\|GLUCAGON]] 2 mg IV or IN, may repeat x 1.
	* For Beta blockers:		* For Beta blockers:
	**For patients with cardiovascular toxicity, as manifested by one or more of the following:		**For patients with cardiovascular toxicity, as manifested by one or more of the following:
	***Hemodynamically significant bradycardia or HB, including 3° HB and high grade 2° HB		***Hemodynamically significant bradycardia or HB, including 3° HB and high grade 2° HB
	****Administer [[Atropine\|ATROPINE]] 0.5 mg IV, may repeat x 2 if no response.		****Administer [[Atropine\|ATROPINE]] 0.5 mg IV, may repeat x 2 if no response.
	****If no response, [[~~Antidiabetics~~\|GLUCAGON]] 2 mg IV or IN, If no response, repeat x 1		****If no response, [[Glucagon\|GLUCAGON]] 2 mg IV or IN, If no response, repeat x 1
	****If no response begin [[Transcutaneous Pacing Procedure\|Transcutaneous Pacing]] (TCP) (9.30)		****If no response begin [[Transcutaneous Pacing Procedure\|Transcutaneous Pacing]] (TCP) (9.30)
	***If hypotension		***If hypotension
	****200 – 300 cc NS bolus, repeat as needed.		****200 – 300 cc NS bolus, repeat as needed.
	****Administer [[~~Antidiabetics~~\|GLUCAGON]] 2 mg IV or IN, may repeat x 1.		****Administer [[Glucagon\|GLUCAGON]] 2 mg IV or IN, may repeat x 1.

	====Physician's Order: POISON CONTROL INFORMATION and subsequent treatment.====		====Physician's Order: POISON CONTROL INFORMATION and subsequent treatment.====