The 5 Minute Toxicology Consult

by ; ; ;
Format: Hardcover
Pub. Date: 2000-01-01
Publisher(s): Lippincott Williams & Wilkins
List Price: $79.95

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Summary

The 5 Minute Toxicology Consult is a reliable rapid access guide to assessing and treating poisoned patients. Designed and organised for quick consultation and focused on practical clinical issues, the book covers the full range of chemicals, medications, natural compounds, adverse interactions, and patient presentations with toxicologic causes. Each chapter is divided into standard categories flagged by icons - Basics, Diagnosis, Signs/Symptoms, Treatment, Follow-up , and Pitfalls . An entire section is devoted to evaluating patients with suspected but unidentified poisoning. At least two experienced, board certified, practicing emergency physicians and toxicologists were involved in the editing of every chapter.

Table of Contents

Preface vii
Contributing Authors viii
SECTION I. GENERAL APPROACH
Nontoxic Ingestion
3(2)
Gregory M. Bogdan
Gerold F. O'Malley
Elimination Enhancement
5(2)
Steven A. Seifert
Katherine M. Hurlbut
Drug Screening
7(4)
Kennon Heard
SECTION II. PATIENT PRESENTATIONS WITH TOXICOLOGIC CAUSES
Acute Renal Failure
11(2)
Edwin K. Kuffner
Anion Gap Metabolic Acidosis (Unexplained)
13(2)
Steven A. Seifert
Anticholinergic Syndrome
15(2)
Edwin K. Kuffner
Ascending Paralysis
17(2)
Robin Millin
Asymptomatic Patient Presentation
19(2)
Lada Kokan
Body Packer/Body Stuffer
21(2)
Michael Stackpool
Bradycardia Toxidrome
23(2)
Katherine M. Hurlbut
Bradypnea
25(2)
Richard C. Dart
Cholinergic Syndrome (Unexplained)
27(2)
Steven A. Seifert
Coma
29(2)
Katherine M. Hurlbut
Extravasation of Drugs
31(2)
Jana Vander Leest
Gulf War Syndrome
33(2)
Scott D. Phillips
Hearing Abnormalities
35(2)
Edwin K. Kuffner
Hyperkalemia
37(2)
Nirmal K. Veeramachaneni
Charles B. Cairns
Hypertension
39(2)
Katherine M. Hurlbut
Hyperthermia
41(2)
Lada Kokan
Hypotension
43(2)
Katherine M. Hurlbut
Hypothermia
45(2)
Gayle E. Long
Metal Fume Fever
47(2)
Gerald F. O'Malley
Methemoglobinemia
49(2)
Christopher R. DeWitt
Kennon Heard
Movement Disorders
51(2)
Lada Kokan
Multiple Chemical Sensitivity
53(2)
Alvin C. Bronstein
Neuroleptic Malignant Syndrome and Serotonin Syndrome
55(2)
Katherine M. Hurlbut
Odors
57(2)
Edwin K. Kuffner
One Pill Can Kill
59(2)
Richard C. Dart
Osmolar Gap
61(2)
Kennon Heard
Peripheral Neuropathy
63(2)
Edwin K. Kuffner
Pulmonary Edema
65(2)
Kennon Heard
Seizures
67(2)
Kennon Heard
Tachycardia
69(2)
Katherine M. Hurlbut
Tachypnea
71(2)
Richard C. Dart
Unknown Ingestion
73(2)
Steven A. Seifert
Urinary Color Change
75(2)
Lada Kokan
Kennon Heard
Ventricular Dysrhythmias
77(2)
Richard C. Dart
Visual Loss Complaints
79(2)
Lada Kokan
Gerald F. O'Malley
Withdrawal-Depressants and Stimulants
81(4)
Edwin K. Kuffner
SECTION III. ANTIDOTES
Activated Charcoal
85(2)
Steven A. Seifert
Adenosine
87(2)
Gerald F. O'Malley
Atropine
89(2)
Gerald F. O'Malley
Black Widow Spider Antivenom
91(2)
Katherine M. Hurlbut
Botulinum Antitoxin
93(2)
Steven A. Seifert
British Anti-Lewisite
95(2)
Edwin K. Kuffner
Calcium
97(2)
Lada Kokan
Cholestyramine
99(2)
Katherine M. Hurlbut
Cyanide Antidote Package
101(2)
Luke Yip
Dantrolene
103(2)
Edwin K. Kuffner
Deferoxamine
105(2)
Edwin K. Kuffner
Dextrose
107(2)
Kennon Heard
Digoxin Immune Fab (Digibind)
109(2)
Lada Kokan
Kennon Heard
Edrophonium
111(2)
Steven A. Seifert
Ethanol
113(2)
Kennon Heard
Ethylenediaminetetraacetic acid (EDTA)
115(2)
Katherine M. Hurlbut
Flumazenil
117(2)
Jeffrey S. Peterson
Charles B. Cairns
Folic Acid/Leucovorin
119(2)
Luke Yip
Fomepizole (Antizol)
121(2)
Scott D. Phillips
Glucagon
123(2)
Edwin K. Kuffner
Hyperbaric Oxygen
125(2)
Scott D. Phillips
Ipecac Syrup
127(2)
Richard C. Dart
Magnesium Sulfate
129(2)
Katherine M. Hurlbut
Methylene Blue
131(2)
Richard Chen
N-Acetylrysteine
133(2)
Rivka S. Horowitz
Naloxone and Nalmefene
135(2)
Kennon Heard
Nitroprusside
137(2)
Edwin K. Kuffner
Penicillamine
139(2)
Kennon Heard
Physostigmine
141(2)
Steven A. Seifert
Pralidoxime
143(2)
Luke Yip
Protamine Sulfate
145(2)
Edwin K. Kuffner
Pyridoxine
147(2)
Mark C. Goodman
Snake Antivenom-Crotalid and Elapid Snakes
149(2)
Katherine M. Hurlbut
Sodium Bicarbonate
151(2)
Richard C. Dart
Sodium Polystyrene Sulfonate
153(2)
Katherine M. Hurlbut
Succimer
155(2)
Lada Kokan
Thiamine
157(2)
Edwin K. Kuffner
Vitamin K
159(2)
Edwin K. Kuffner
Whole-Bowel Irrigation
161(6)
Katherine M. Hurlbut
SECTION IV. CHEMICAL AND BIOLOGICAL AGENTS
Acetaminophen-Acute Single Ingestion
167(2)
Rivka S. Horowitz
Acetaminophen-Repeated (Chronic) Ingestion
169(2)
Rivka S. Horowitz
Acetonitrile and Aliphatic Nitriles
171(2)
Edwin K. Kuffner
Acrolein
173(2)
Edwin K. Kuffner
Acrylamide
175(2)
Martha M. Foley
Akee Fruit
177(2)
Netti Riggs
α1-Adrenergic Antagonists
179(2)
Edwin K. Kuffner
Amiodarone and the Class III Antidysrhythmics
181(2)
Gerald F. O'Malley
Edwin K. Kuffner
Ammonia
183(2)
Edwin K. Kuffner
Amoxapine and Loxapine
185(2)
Katherine M. Hurlbut
Amphetamines
187(2)
Katherine M. Hurlbut
Amrinone
189(2)
Edwin K. Kuffner
Angiotensin-Converting Enzyme Inhibitors
191(2)
Alvin C. Bronstein
Anticholinergic Compounds
193(2)
Edwin K. Kuffner
Antidepressants-Bicyclic
195(2)
Lada Kokan
Antidepressants-Tricyclic
197(2)
Katherine M. Hurlbut
Antidysrhythmic Agents-Class IA Quinidine and Disopyramide
199(2)
Gerald f. O'Malley
Katherine M. Hurlbut
Antidysrhythmic Agents-Class IB
201(2)
Gerald F. O'Malley
Antidysrhythmic Agents-Class IC
203(2)
Gerald F. O'Malley
Antifungal Medications
205(2)
Gerald f. O'Malley
Antihistamines-Nonsedating
207(2)
Steven A. Seifert
Antihistamines-Over-the-Counter
209(2)
Katherine M. Hurlbut
Antimicrobial-Aminoglycosides
211(2)
Steven A. Seifert
Antimicrobials-Antituberculous Agents
213(2)
Steven A. Seifert
Antimicrobials-Macrolide
215(2)
Steven A. Seifert
Antimicrobials-Miscellaneous
217(2)
Steven A. Seifert
Antimicrobials-Penicillins and Cephalosporins
219(2)
Steven A. Seifert
Antimicrobials-Sulfonamides
221(4)
Steven A. Seifert
Antineoplastic Medications
225(2)
Katherine M. Hurlbut
Antiparasitic Drugs
227(2)
Netti Riggs
Antiprotozoal Medications
229(2)
Steven A. Seifert
Antivirals-Acyclovir Analogs, Amantadine, and Foscarnet
231(2)
Steven A. Seifert
Antivirals-Protease Inhibitors
233(2)
Steven A. Seifert
Antivirals-Reverse Transcriptase Inhibitors
235(2)
Steven A. Seifert
Arsenic
237(2)
Luke Yip
Arsine
239(2)
Luke Yip
Asphyxiant Gases
241(2)
Kennon Heard
Baclofen
243(2)
Katherine M. Hurlbut
Barbiturates
245(2)
Kennon Heard
Barium
247(2)
Luke Yip
Bee Sting
249(2)
Lada Kokan
Kennon Heard
Benzene
251(2)
Alvin C. Bronstein
Benzocaine
253(2)
Edwin K. Kuffner
Benzodiazepines
255(2)
Brian T. Williams
Benzoyl Peroxide
257(2)
Michael Anderson
Beryllium
259(2)
Luke Yip
β-Receptor Blocking Drugs
261(2)
Katherine M. Hurlbut
β3-Receptor Agonists
263(2)
Edwin K. Kuffner
Bismuth
265(2)
Kathleen Graham
Black Widow Spider
267(2)
Katherine M. Hurlbut
Boric Acid and Borates
269(2)
Edwin K. Kuffner
Botulism
271(2)
Steven A. Seifert
Brodifacoum and Long-Acting Anticoagulants
273(2)
Luke Yip
Bromides
275(2)
Katherine M. Hurlbut
Brown Recluse Spider Bite
277(2)
Kennon Heard
Bupropion
279(2)
Kennon Heard
Butorphanol
281(2)
Kennon Heard
Button or Disk Batteries
283(2)
Kennon Heard
Cadmium
285(2)
Scott D. Phillips
Cadmium Fume Fever/Pneumonitis
287(2)
Luke Yip
Caffeine
289(2)
Edwin K. Kuffner
Calcium Channel-Blocking Drugs
291(2)
Lada Kokan
Kennon Heard
Camphor
293(2)
Wei-Fong Kao
Jou-Fang Deng
Cantharidin (Blister Beetle)
295(2)
Jay Mullen
Capsaicin (Hunan-Hand Syndrome)
297(2)
Luke Yip
Carbamate Insecticides
299(2)
Kennon Heard
Carbamazepine
301(2)
Lada Kokan
Kennon Heard
Carbon Disulfide
303(4)
Kennon Heard
Carbon Monoxide
307(2)
Scott D. Phillips
Carisoprodol
309(2)
Steven A. Seifert
Caustics-Acidic
311(2)
Katherine M. Hurlbut
Caustics-Basic
313(2)
Katherine M. Hurlbut
Chloral Hydrate
315(2)
Edwin K. Kuffner
Chlorine
317(2)
Edwin K. Kuffner
Cholinergic Agonist Medications
319(2)
Robin Millin
Chromium
321(2)
Scott D. Phillips
Melanie A. Wells
Ciguatera Fish Poisoning
323(2)
Luke Yip
Cisapride
325(2)
Kathleen Graham
Clonidine
327(2)
Lada Kokan
Gerald F. O'Malley
Cobalt
329(2)
Edwin K. Kuffner
Cocaine
331(2)
Edward W. Cetaruk
Cocaine ``Washed-Out'' Syndrome
333(2)
Richard C. Dart
Colchicine
335(2)
Wei-Fong Kao
Jou-Fang Deng
Cone Snail
337(2)
Melanie A. Wells
Copper
339(2)
Scott D. Phillips
Coumadin and Warfarin
341(2)
Luke Yip
Cyanide
343(2)
Scott D. Phillips
Cyclobenzaprine
345(2)
Luke Yip
Cyclosporine
347(2)
Edwin K. Kuffner
Dapsone
349(2)
Edwin K. Kuffner
Dextromethorphan
351(2)
Michael D. Jankoviak
Diethylstilbestrol (DES)
353(2)
Edwin K. Kuffner
Diethyltoluamide (DEET)
355(2)
Gerald F. O'Malley
Digoxin and Cardiac Glycosides
357(2)
Lada Kokan
Kennon Heard
Diphenoxylate
359(2)
Steven A. Seifert
Disulfiram
361(2)
Edwin K. Kuffner
Diuretics
363(2)
Edwin K. Kuffner
Edrophonium
365(2)
Steven A. Seifert
Ephedrine
367(2)
Melissa J. Ruyle
Epinephrine
369(2)
Kevin M. Lier
Ergot Alkaloids
371(2)
Michael Stackpool
Ethchlorvynol
373(2)
Lada Kokan
Ethylene Glycol
375(2)
Edwin K. Kuffner
Ethylene Oxide
377(2)
Edwin K. Kuffner
Felbamate
379(2)
Edwin K. Kuffner
Fenfluramine and Dexfenfluramine
381(2)
Kennon Heard
Fire Ant
383(2)
Edwin K. Kuffner
Fish Stings
385(2)
Thomas G. Burke
Flunitrazepam (Rohypnol)
387(2)
Christopher Layton
Food Poisoning-Bread, Dairy Products, Produce, Water
389(2)
Gerald F. O'Malley
Food Poisoning-Meat, Poultry, and Eggs
391(2)
Gerald F. O'Malley
Food Poisoning-Shellfish
393(2)
Luke Yip
Formaldehyde
395(2)
Gerald F. O'Malley
Freon and Fluorinated Hydrocarbons
397(2)
Robert Orman
Gabapentin
399(2)
Kennon Heard
Gamma Hydroxybutyrate
401(2)
Lada Kokan
Kennon Heard
Gila Monster
403(2)
Bill Sevcik
Glycopyrrolate
405(2)
Steven A. Seifert
Gold
407(2)
John P. Marshall
Griseofulvin
409(2)
Steven A. Seifert
Guaifenesin
411(2)
Kevin M. Lier
Guanabenz
413(2)
Edwin K. Kuffner
Guanethidine
415(2)
Edwin K. Kuffner
Guanfacine
417(2)
Steven A. Seifert
Heparins-Standard and Fractionated
419(2)
Edwin K. Kuffner
Heroin
421(2)
Steven A. Seifert
Hexachlorophene
423(2)
Steven A. Seifert
Hydrocarbons-General
425(2)
Alvin C. Bronstein
Hydrocarbons-Aniline and Xylene
427(2)
Alvin C. Bronstein
Hydrocarbons-Chlorinated
429(2)
Alvin C. Bronstein
Hydrofluoric Acid and Ammonium Bifluoride
431(2)
Lada Kokan
Kennon Heard
Hydrogen Peroxide
433(2)
Katherine M. Hurlbut
Hydrogen Sulfide
435(2)
Gerald F. O'Malley
Imidazoline Decongestants
437(2)
Edwin F. Kuffner
Insulin
439(2)
Kennon Heard
Interferons
441(2)
Richard C. Dart
Iodine and Iodide
443(2)
Edwin K. Kuffner
Ipecac Syrup
445(2)
David Magilner
Iron
447(2)
Kennon Heard
Isocyanates
449(2)
Scott D. Phillips
Isoniazid
451(2)
Kevin M. Lier
Isopropyl Alcohol
453(2)
Katherine M. Hurlbut
Jellyfish
455(2)
Robert E. Vander Leest
Lamotrigine
457(2)
Edward W. Cetaruk
Lead Poisoning-Adult
459(4)
Scott D. Phillips
Lead Poisoning-Pediatric
463(2)
Katherine M. Hurlbut
Levamisole
465(2)
Scott D. Phillips
Levodopa
467(2)
Edwin K. Kuffner
Levorphanol
469(2)
Kennon Heard
Lipid-Lowering Agents
471(2)
Jana Vander Leest
Lithium
473(2)
Edwin K. Kuffner
Local Anesthetics
475(2)
Kennon Heard
Loperamide
477(2)
Steven A. Seifert
LSD and Other Psychedelic Compounds
479(2)
Robin Millin
Manganese
481(2)
Lada Kokan
Maprotiline
483(2)
Richard C. Dart
Marijuana
485(2)
Dan Stillman
Mefenamic Acid
487(2)
Katherine M. Hurlbut
Mercury-Elemental
489(2)
Alvin C. Bronstein
Mercury-Inorganic
491(2)
Alvin C. Bronstein
Mercury-Organic
493(2)
Alvin C. Bronstein
Metformin and Biguanide Hypoglycemic Agents
495(2)
Katherine M. Hurlbut
Methamphetamine
497(2)
David Nyman
Methanol
499(2)
Luke Yip
Methenamine
501(2)
Steven A. Seifert
Methocarbamol
503(2)
Steven A. Seifert
Methoxamine
505(2)
Steven A. Seifert
Methyl Bromide
507(2)
Katherine M. Hurlbut
Methyldopa
509(2)
Edwin K. Kuffner
Methylphenidate (Ritalin)
511(2)
Lada Kokan
Steven A. Seifert
Metoclopramide
513(2)
Heath Jolliff
Edwin K. Kuffner
Minoxidil
515(2)
Loda Kokan
Misoprostol
517(2)
Edwin K. Kuffner
Molindone
519(2)
Katherine M. Hurlbut
Monoamine Oxidase Inhibitors
521(2)
Wyatt J. Hall
Mothballs
523(2)
Luke Yip
Multivitamins
525(4)
Gerald F. O'Malley
Mushrooms
529(2)
Luke Yip
Narcotics
531(2)
Robin Millin
Niacin and Nicotinamide
533(2)
Luke Yip
Nickel
535(2)
Lada Kokan
Nickel Carbonyl
537(2)
Luke Yip
Nicotine
539(2)
Benjamin Camp
Nitrates and Nitrites
541(2)
Steven A. Siefert
Nitrogen Oxides
543(2)
Edwin K. Kuffner
Gerald F. O'Malley
Nitrous Oxide
545(2)
John P. Marshall
Nonsteroidal Antiinflammatory Drugs
547(2)
Karen Brigid-Ita Holowinski
Katherine M. Hurlbut
Omeprazole and Lansoprazole
549(2)
Steven A. Seifert
Oral Hypoglycemic Agents
551(2)
Lada Kokan
Organochlorine Pesticides (Lindane)
553(2)
Scott D. Phillips
Organophosphate Insecticides
555(2)
Luke Yip
Ozone
557(2)
Alvin C. Bronstein
Paraquat and Diquat
559(2)
Lada Kokan
Gerald F. O'Malley
Pennyroyal
561(2)
Kathleen Graham
Pentoxifylline
563(2)
Kennon Heard
Phencyclidine
565(2)
Katherine M. Hurlbut
Phenol
567(2)
Katherine M. Hurlbut
Phenolphthalein
569(2)
Steven A. Seifert
Phenothiazines
571(2)
Steven A. Seifert
Phenoxybenzamine
573(2)
Lada Kokan
Phentolamine
575(2)
Lada Kokan
Phenylpropanolamine
577(2)
Kathleen M. Wruk
Phenytoin
579(2)
Kennon Heard
Phosphine
581(2)
Martha M. Foley
Phosphorus
583(2)
Luke Yip
Plants-Anticholinergic
585(2)
Edwin K. Kuffner
Plants-Cardiac Glycosides
587(2)
Edwin K. Kuffner
Plants-Cyanogenic Glycosides
589(2)
Edwin K. Kuffner
Plants-General
591(2)
Edwin K. Kuffner
Podophyllum
593(2)
Wei-Fong Kao
Jou-Fang Deng
Polymer Fume Fever
595(2)
Gerald F. O'Malley
Prednisone
597(2)
Robert E. Vander Leest
Probenecid
599(2)
Kennon Heard
Procainamide
601(2)
David Nyman
Propoxyphene
603(2)
Lada Kokan
Propylthiouracil
605(2)
Edwin K. Kuffner
Psoralens
607(2)
Kennon Heard
Pyrethrin/Pyrethrum
609(2)
Alvin C. Bronstein
Pyrrolizidine Alkaloids
611(2)
Michael Stackpool
Quinine
613(2)
Lada Kokan
Gerald F. O'Malley
Reserpine
615(2)
Kennon Heard
Rifampin
617(4)
Alvin C. Bronstein
Salicylates
621(2)
Luke Yip
Scombroid Fish Poisoning
623(2)
Steven A. Seifert
Scorpion Envenomation
625(2)
Kennon Heard
Sedative-Hypnotic Agents
627(2)
Christopher Layton
Selective Serotonin Reuptake Inhibitors
629(2)
Timothy VanDuzer
Selenium
631(2)
Gayle E. Long
Sildenafil
633(2)
Jeffrey Rogers
Frank F.S. Daly
Smoke Inhalation
635(2)
Paul Bender
Snakebite-Exotic
637(2)
Richard C. Dart
Snakebite-North American Coral Snake
639(2)
Richard C. Dart
Snakebite-North American Crotalids
641(2)
Richard C. Dart
Sodium Fluoride
643(2)
Julie Seaman
Sotalol
645(2)
Katherine M. Hurlbut
Stingray
647(2)
Martha M. Foley
Strychnine
649(2)
Michael Anderson
Succinamide Anticonvulsants
651(2)
Steven A. Seifert
Sucralfate
653(2)
Kathleen Graham
Sulfur Dioxide
655(2)
Scott D. Phillips
Sumatriptan
657(2)
Luke Yip
Tacrine
659(2)
Kennon Heard
Tamoxifen
661(2)
Lada Kokan
Teratogens
663(2)
Loda Kokan
Terfenadine
665(2)
Steven A. Seifert
Testosterone and Methyltestosterone
667(2)
John P. Marshall
Tetrodotoxin
669(2)
Netti Riggs
Thallium
671(4)
Gregory M. Bogdan
Theophylline
675(2)
Katherine M. Hurlbut
Thioridazine
677(2)
Katherine M. Hurlbut
Thyroid Products
679(2)
Luke Yip
Tick Paralysis
681(2)
Edwin K. Kuffner
Ticlopidine
683(2)
Robert E. Vander Leest
Tin
685(2)
Lada Kokan
Tolazoline
687(2)
Luke Yip
Toluene
689(2)
Gerald F. O'Malley
Tramadol
691(2)
Richard C. Dart
Trazodone and Nefazodone
693(2)
Steven A. Seifert
Trimethobenzamide
695(2)
Kennon Heard
Valproic Acid
697(2)
Katherine M. Hurlbut
Vinyl Chloride
699(2)
Luke Yip
Vitamin A and Retinoids
701(2)
Chris Fleming
Water Hemlock
703(2)
Edward W. Cetaruk
Zinc
705(2)
Kennon Heard
Zolpidem
707(1)
Kennon Heard
Index 708

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