11 results
OPIOID SWITCHING AND TAPERING.

Long term opioid use results in physical (and potentially psychological) dependence. Opioids should
OPIOID SWITCHING ... Long term opioid ... sweating, anxiety, nausea ... #pharmacology #conversion ... #management #Guide
Cyanide Toxicity 
Treatment:
1) Hydroxocobalamin + Cyanide = Cyanocobalamin (nontoxic) 
   or 
2) Amyl nitrite
Amyl nitrite - causes ... thiosulfate enhances conversion ... Cyanide #Toxicity #Toxicology ... Pathophysiology #Management
Naloxone - Toxicology

Adult starting dose:
 - 0.4 mg IV/IM/IO/SQ for non-opioid dependent patients
 - 0.04 mg
Naloxone - Toxicology ... /IO/SQ for non-opioid ... search for other causes ... Naloxone #Narcan #Toxicology ... #Management #Pharmacology
Naloxone for Clonidine Overdose
Indication: Altered mental status, CNS depression or respiratory depression due to clonidine overdose
Dosing:
increase endogenous opioid ... Endogenous opioids ... move on to other cares ... Clonidine #Overdose #toxicology ... #management
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Diagnosis and Management ... no respiratory cause ... , Diaphoresis, Pulmonary ... Aspirin #Toxicity #Toxicology ... #diagnosis #management
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
should identify any cause ... surgery related cause ... o Aspiration, pulmonary ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Guidelines for Crises ... flattening or inversion ... Guidelines for crises ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Laryngospasm and Stridor - Guidelines for Crises in Anaesthesia

❶ Call for help and inform theatre
Guidelines for Crises ... Consider other causes ... negative-pressure pulmonary ... Intraoperative #Checklist ... #Diagnosis #Management
Amiodarone Induced Lung Toxicity Summary

Who?
• 5% of patients
• Dose ≥ 400 mg per day

How?  Possible
solitary and multiple pulmonary ... Exclude other causes ... pneumonia - Pulmonary ... #diagnosis #management ... #Toxicology
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia
Using these steps from start
should identify any cause ... POTENTIAL CAUSES ... o Aspiration, pulmonary ... Intraoperative #Checklist ... Diagnosis #Workup #Management