Poisoning ========= Massive OD: consider hemodialysis even if agent not "officially" on dialysis list Acetaminophen Alcohols Algae Ingestion Antidepressants Antihistamine OD Antihyperglycemic OD Antipsychotic ED Arsenic Asphyxiants Aspirin Beestings Beta-blockers Bites and Stings Botulism Calcium-channel OD Capsaicin Carbon Monoxide "Cat"=Khat Caustic Ingestions Charcoal Chili Peppers Cleaning Products continued . . . Cocaine Toxicity "Coma Cocktails": [Hoffman RS, Goldfrank LR. The poisoned patient with altered consciousness: controversies in the use of a "coma cocktail" JAMA 1995.] Cyanide Depakene/Valproate Diabetes medication OD Dilantin Drugs of Abuse Ethanol Ethylene Glycol First Aid for Poisons Food Poisoning Gas Warfare agents Gastric Decontamination GHB Gamma Hydroxybutyric acid Glucophage (metformin) Heavy Metals Herbal Teas and Remedies Hot Peppers Hydrocarbons Hydrofluoric Acid Burns Hydrogen Sulfide Household Products Insulin ID INH: causes seizures, treat with B6 (pyridoxine) 5 gm IV Q 30 minutes ASAP Ipecac Iron Irritant Gas Exposure Khat="Cat" Lead Licorice Lithium Marine Envenomations Mercury Give succimer, will survive Methanol Methemoglobinemia Mushrooms Narcotics Nerve Gases Niacin NSAID's OC spray Organophosphates Phenol Pepper Spray Plant poisonings Radioopaque Pills Ricin Salicylates Scorpion Bites Serotonin Syndrome Shellfish Poisoning Smoke Inhalation Snake Bites Spider Bites Stings and Bites Strychnine Sympathomimetics Tegretol Theophylline Tobacco Poisoning Tox Screens Toxidromes Tricyclic and other Antidepressants Tylenol Urine Tox Screen Mercy's won't detect Klonopin Valproate/Depakene Warfare, Chemical Wasp Stings Diagnostic Changes ------------------ Increased QTc on EKG Elevated lactate level Tinnitus Osmolal Gap