Toxidromes
Key points - examination: vital signs, respiration, GCS, pupils, injury
Clues to substance ingested:
Coma | Fits | Constricted pupils | Dilated pupils | Arrhythmias |
tricyclics | amphetamine | opiates | atropine | antiarrhythmias |
benzodiazepines | mefanamic acid | organophosphates | cocaine | tricyclics |
ethanol, methanol | phenothiazines | tricyclics | phenothiazines | |
opiates | theophylline | phenothiazines | anticholinergics | |
barbiturates | tricyclics | quinine | sympathomimetics | |
lithium | lithium | sympathomimetics | ecstacy | |
quinine | organophosphates | B-blockers | ||
ethylene glycol | ethylene glycol | organophosphates | ||
organophosphates | quinine | quinine | ||
Pulmonary oedema | metabolic acidosis | hyperthermia | renal failure | hypotension |
aspirin | aspirin | anticholinergics | aspirin | tricyclics |
tricyclics | ethanol | MAO inhibitors | methanol | ecstacy |
irritant gases | tricyclics | aspirin | paracetamol | B-blockers |
opiates | methanol | ethylene glycol | Ca antagnoists | |
organophosphates | ethylene glycol | lithium | ||
digoxin | quinine |