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Poisoning
Poisoning may be accidental or intentional.
Children and the elderly
consider the possibility of child
or elder abuse.
In adults and teenagers
usually indicates an underlying
psychosocial problem. Poisons may be ingested, inhaled, or absorbed through the
skin or eye.
Poisoning
Subjective
Type of poison
Time of poisoning & duration
Amount
Objective
ABCD
Vital signs
Confused,comatose
Classical smell
Pupils
Mouth inspection
Associated injuries
Poisoning
Assessment
Critical
Abnormal VS except fever
Comatose,confused
Possible insecticide, antidep,
antipsychotic
PCM >14 tablets within 6 hours
Semi-critical
PCM, aspirin, bleach, petroleum
distillates
Non-critical
Antibiotics,OCP(unless contain
iron), vitamins
Poisoning
Plan
Resuscitate if respiratory
distress or shock
Prepare for gastric lavage and
charcoal instillation
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