06.02 Poisoning for CCRN Review

Nursing Points

General

1. Poisoning
   1. Patient presents as comatose
      1.   Give/ administer
         1.   Dextrose
         2. Thiamine
         3. Activated Charcoal
         4. Antidote
      2. Poisoning type: Tylenol
         1. Destroys liver
         2. Grades
            1. Grade I – Nausea/vomiting
            2. Grade II – RUQ pain
            3. Grade III – Liver function abnormalities
         3. Antidote
            1. Mucomyst
            2. Activated charcoal
               1. Only if less than 4 hours since ingestion
         4. Poisoning type: Aspirin
            1. Destroys kidneys
            2. Can cause Renal Tubular Acidosis
               1. Kidney fails to excrete acid
               2. Blood remains acidotic
            3. Antidote
               1. Lavage
               2. Induce emesis
               3. Activated charcoal
               4. Sodium Bicarbonate
                  1. Saves life
                  2. Corrects Renal Tubular Acidosis
               5. Hemodialysis