Tox Misc 1 TV Tox Tox Misc 2 Tox Cases Name that Toxin!
What toxic alcohol causes acidosis and renal failure?
What’s the initial loading dose for CroFab?
4 – 6 vials
Ferric chloride can be used to detect which substance?
Given the following lab findings, calculate the anion gap: bicarbonate, 15 mEq/L, calcium, 10 mg/dL, sodium, 135 mEq/L, chloride, 98 mEq/L, magnesium, 1.8 mEq/L.
The ability to detect the odor of this deadly substance is genetically determined. Hint: it’s the smell of almonds!
In the TV show, "Friends" Monica gets stung by a jellyfish. How did Chandler treat her sting?
Urinating on it!
In an episode of "The Simpsons", Bart takes a trip to France on an exchange program where he is enslaved by a couple of nasty vintners and is forced to drink adulterated wine. What was the adulterant in the wine? Hint: it’s a toxic alcohol!
Antifreeze (ethylene glycol OR methanol are acceptable)
On this popular current television show, one of the main characters became addicted to her child's ADHD medicine. Which show is it?
What’s the common name for the mixture of heroin PLUS cocaine? Hint: John Belushi died from this toxic cocktail
What popular cartoon duo of the music world featured episodes on toad licking and sniffing paint thinner?
Beavis & Butthead
This number, referring to a month and day, is associated with epidemics of marijuana exposure. What is the number?
420 (April 20)
Name the snake found in the United States that is venomous but is NOT a member of the Crotalidae family
What is the saying to help remember the difference between the Coral Snake and it’s mimic: the King snake?
Red on black, venom lack. Red on yellow kill a fellow
Name 3 treatments to AVOID for patients with snakebites
Avoid in Snakebite Incision and suction Ice Electric Shock Tourniquet Ethanol Stimulants
I am a dissociative anesthetic that is sometimes used in veterinary medicine AND as a substance of abuse. What is my real name?
Ketamine (aka: Special K)
True or False: A patient presents to the ED with a history of an APAP overdose 8 hours post ingestion. The blood APAP level on arrival is 65 mcg/ml. According to the Rumack-Matthew nomogram, this is a toxic blood level.
A patient presents to the emergency department coughing and is short of breath. The patient reports getting a whiff of a gas that smelled of just mowed hay or grass. Name the toxin.
A 23 year old patient presents with a history of ingesting a 3 month supply of his isoniazid tablets at one time. The patient is having multiple seizures that are not controlled by lorazepam. What’s the antidote?
Pyridoxine (aka Vitamin B6)
A 19 year old patient is brought to the ED after being found at a “rave”. She’s unconscious, unresponsive, has a heart rate of 180 BPM, and BP of 100/40. MD asks if it’s OK to give propranolol.
Propranolol not OK. Can lead to unopposed alpha stimulation which can worsen BP and HR
A 15 year old patient was doing something in his locker at school when the assistant principal appeared at the locker to ask what was going on. The patient immediately passed out and went into cardiac arrest. The patient had been sniffing airplane glue in his locker just before passing out. What happened to the patient?
Sudden Sniffing Death
A 43 year old man was found seizing at home after taking all of the medication prescribed for him to stop smoking. What’s the most likely substance causing these toxic effects?
This product contains 98% methylsalicylate. Each teaspoonful contains the equivalent of 21 regular strength aspirin tablets. What’s the common name of this substance?
Oil of Wintergreen
What is the name of the toxic metabolite of acetaminophen that causes toxicity?
N-acetylparabenzoquinonamine (NAPQI for short)
This substance is sometimes used to help treat serotonin syndrome. (hint: this drug is also sometimes used to help stimulate appetite in children)
Cyproheptadine (Periactin ®
This vesicant often has a latent period of 4 – 12 hours before dermal effects become evident. Name it!