Study Set Content:
Posion dart frog
effects can be antagonized by etrodotoxin
Black Widow Spider, Oyster, Marbled Cone snail, Bee, Puffer fish
Emergency and supportive measures
Management should include:
1. Accurate history taking
2. Stabilization of patient’s condition
3. Physical examination
4. Laboratory examination
5. Decontamination
6. Poison-specific treatment – antidote
7. Disposition
History Taking: 5 W’s
Who, What, When, Where, Why
demographics (name, age, weight, etc.)
Who
– identify the drug/ toxin and dose
What
time and date
When
– route of administration and the geographic location
Where
intentional or accidental
Why
Awake: Intact airway reflexes, voice, breath sounds
Airways
Lethargic
Check gag/cough reflex Position patient Clear airway
RR:
12-20 bpm
Chest wall movements Chest percussion Lung auscultation
Breathing
Skin color, sweating Capillary refill time BP, PR ECG monitoring Heart auscultation
Circulation
Monitor LOC (alertness, voice responsive, pain responsive, unresponsive) Limb movements Pupillary light reflexes Blood glucose
Disability
Expose skin Obtain allergy history
Exposure
A – Airways
Head tilt and chin left Suction, ET intubation
B – Breathing
Position() Obtain () Assist with bag/mask device Give supplemental ()
comfortably, ABG, oxygen
C – Circulation
Stop () Elevate () Start() lines, Infuse () solution
bleeding, legs , IV, saline
D – Disability
Recognize/treat () Monitor () Treat () Control agitation Treat ABC
hypoglycemia, temperature, seizures
