Bites and Stings: Bees, wasps, spiders, ants, scorpions, snakes, jelly fish Management: usually unless anaphylaxis is present, no medications are warranted Snakebites: Of most concern are Coral snakes and Pit…
Tricyclic Antidepressants: common are amitriptyline (Elavil), amoxapine (Asendin), clomapramin (Anafranil), doxepin (Sinequan, Adepin), imipramine (Tofranil) and nortriptyline (Aventyl, Pamelor). Block the reuptake of norepinephrine and seratonin in the brain. Some…
Toxic Gas inhalation: Inert gases: displaces O2 and injury/death is due to asphyxiation. CO2, methane, exane, propane acetylene. Mental, seizures, cardiac dysrhythmias Irritant gases: irritate tissues. Highly water soluble irritate…
Narcotics/Opiates: CNS and respiratory depressants. Heroin, morphine, codeine, meperidine, propoxyphene, fentanyl, hydrocodone. Euphoria Hypotension Respiratory depression/arrest Nausea Pinpoint pupils Seizures Coma Management: Maintain ABCs. Naloxone (Narcan) antagonizes narcotics (and the…
Cholinergics: stimulate the parasympathetic nervous system, block the breakdown of acetylcholine. Pesticides like organophosphates and nerve gas agents like sarin, or soman. Severe symptoms are called: SLUDGEM Salivation Lacrimation Urination…