By Kent Olson
ISBN-10: 0071443339
ISBN-13: 9780071443333
The best resource for toxicologic emergencies -- revised and up to date! A Doody's middle name crucial buy! four superstar DOODY'S overview! "This is a superb source for poison regulate facilities, toxicologists, and healthcare practitioners for the analysis, therapy, and administration of poisonings due to publicity to a wide selection of business, healing, illicit, and environmental chemicals."--Doody's assessment provider With each one bestselling variation, Poisoning & Drug Overdose has helped poison regulate employees, clinical toxicologists, and emergency physicians reply to drug-related emergencies and chemical exposures. the hot variation of this unprecedented, at-a-glance consultant bargains the newest recommendation wanted for the potent prognosis and remedy of poisoning and drug overdose. The 5th version positive factors: serious insights into well timed subject matters resembling organic battle brokers and the most recent antidotes up to date info on business chemical compounds, together with the newest regulatory publicity limits increased details, together with distinctive being pregnant issues Easy-to-read textual content and tables containing particular drug dosage details specific desk summarizing present toxicity and office publicity guidance for greater than 500 commercial chemical substances wide cross-referencing finished index that includes customary, chemical, and model names for plenty of medicines and advertisement items
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Extra resources for Poisoning & Drug Overdose, 5 e 2006
Sample text
1 mg/kg IV over 1 minute (see Benzodiazepines [Diazepam, Lorazepam, and Midazolam]). c. 2 mg/kg IV over 1 minute (see Benzodiazepines [Diazepam, Lorazepam, and Midazolam]). d. 2 mg/kg IM or IV over 1 minute (see Haloperidol and Droperidol). Note: Do not give haloperidol decanoate salt intravenously. Caution: Both droperidol and haloperidol have caused prolongation of the QT interval and polymorphic ventricular tachycardia (torsade de pointes) and should be avoided or used with great caution in patients with preexisting QT prolongation or with toxicity from agents known to prolong the QT.
B. Glucagon (see Glucagon) for beta receptor antagonist overdose. c. Calcium (see Calcium) for calcium antagonist overdose. d. Propranolol (see Propanolol) or esmolol (Esmolol) for theophylline, caffeine, or metaproterenol or other beta-agonist overdose. 7. If the above measures are unsuccessful, insert a central venous pressure (CVP) monitor or pulmonary artery catheter to determine whether further intravenous fluids are needed and to measure the cardiac output (CO) and calculate the systemic vascular resistance (SVR) as follows: where MAP is the mean arterial pressure and normal SVR = 770–1500.
Perform cardiopulmonary resuscitation (CPR) if there is no pulse and perform advanced cardiac life support (ACLS) for arrhythmias and shock. Note that some ACLS drugs may be ineffective or dangerous in patients with drug- or poisoninduced cardiac disorders. For example, procainamide is contraindicated in patients with tricyclic antidepressant overdose, and atropine and isoproterenol are ineffective in patients with beta receptor antagonist poisoning. B. Begin continuous electrocardiographic (ECG) monitoring.
Poisoning & Drug Overdose, 5 e 2006 by Kent Olson
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