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Alcohol Withdrawal

Clinical Institute Withdrawal Assessment fo Alcohol Scale, Revised (CIWA-AR) is the most studied and widely use…

Sodium Bicarbonate Drip

Reasons for needing a sodium bicarbonate (bicarb) drip are discussed in excellent posts by Pulm Crit…

Dialyzable Drugs

The ability of dialysis to remove a toxin is based on: Molecular weight (size) Protein binding…

Benzodiazepine Equivalence

Intermediate Acting:    Alprazolam (Xanax) 0.5 mg OP Peak: 1-2 hrs Half-life: 6-12hrs Use: anxiolytic Lorazepam…

VBG vs ABG

Notes: In a meta-analysis, Bloom et al. note that there is good correlation between arterial and…

Lithium Toxicity

Symptoms: (Neurological findings appear late in acute ingestion, but are common presenting complaints in chronic toxicity.)…

Toxidromes

US Poison Control Center Hotline 1-800-222-1222 Anticholinergic Syndrome Physiology:Inhibition of muscarinic cholinergic neurotransmission (blocking acetylcholine from binding receptors) gives…

Intentional Overdose

Hx: A 55 yo man presents after an intentional overdose. He is transported by EMS after…

Inhalation Injury

Hx: A male in his 20’s is working when he mixes lime away and bleach in…

Palpitatons and Tremors

Hx: 25 yo female presents with 12 hours of worsening palpitations, muscle rigidity in the thighs, and tremors…