Drug Overdose Poisoning - Revision history

Mfrdmanager at 13:47, 13 November 2020

2020-11-13T13:47:52Z

Mfrdmanager: Protected "Drug Overdose Poisoning" ([Edit=Allow only administrators] (indefinite) [Move=Allow only administrators] (indefinite))

2018-02-10T14:23:12Z

Protected "Drug Overdose Poisoning" ([Edit=Allow only administrators] (indefinite) [Move=Allow only administrators] (indefinite))

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

2018-02-10T14:23:02Z

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 [[Antiemetics|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.====

[[Category:Medical|0505]]

@@ Line 6: / Line 6: @@
 * 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 [[Antiemetics|Antiemetic]] medication as appropriate.
+* IF CORROSIVE INGESTION, administer [[Promethazine|PROMETHAZINE]] OR [[Zofran|ZOFRAN]] 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 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,
-** 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.
 * 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.
+**** 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, [[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 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 [[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 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.
+****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 hypotension
 ****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.====

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