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TOXICOLOGY AND OVERDOSES OVERVIEW

This module prepares registered nurses in the care of patients exposed to toxic agents.

Learning Objectives

After completing this module, you will be able to identify the management goals of patients presenting with toxicological emergencies including:

  • Stabilization and initial patient assessment
  • Treatments and interventions that reduce toxin absorption
  • Review common toxins and their specific treatment

References

Bedard, M., Massicotte, A., & Prasad, S. (Eds.) (2011). The Ottawa Hospital Parenteral Drug Therapy Manual. (32 ed.).

British Columbia Drug and Poison Information Centre. (2002). Poison Management Manual. BCCDC.

Department of Laboratory Medicine. (2012). Laboratory Manual Version 8.0. Horizon Health Network, p. 2.20.

Emory, S. (2007).  Slow the ticking clock of toxicity. Nursing Management, 38 (9), 33-40.

Flomenbaum, N., Goldfrank, L., Hoffman, R., Howland, M., Lewin, N., and Nelson, L (Eds.). (2006). Initial evaluation of the patient: vital signs and toxic syndromes, In Goldfrank’s Toxicological Emergencies Principles of Managing the Poisoned or Overdosed Patient (8th ed.). 42 – 50. New York: McGraw Hill

Hayes, Lynn. (2000). What’s your gut reaction to a Poison Emergency? Nursing, 30 (9), 34-39.

Hoffman, R. (2006). Respiratory Principles. In Flomenbaum, N., Goldfrank, L., Hoffman, R., Howland, M., Lewin, N., and Nelson, L (Eds.), Goldfrank’s Toxicological Emergencies Principles of Managing the Poisoned or Overdosed Patient (8th ed). 352-363. New York: McGraw Hill

Lobert, S. (2000).  Toxicology Ethanol, Isopropanol, Methanol, and Ethylene Glycol Poisoning. Critical Care Nurse, 20 (6), 41 – 47

Marraffa, J., Cohen, V., & Howland, M. (2012). Antidotes for toxicological emergencies: a practical review. American Journal of Health-System Pharmacists, 69 (Feb 1), 199-212. DOI 10.2146/ajhp110014

Myers, R., Ma, B., & Shaheen, A. (2007).  Emergency department visits for acetaminophen overdose: a Canadian population-based epidemiologic study (1997- 2002). Canadian Journal of Emergency Medicine, 9(4), 267-74

Smith, C & Graffeo, C. (2005).  Clinical Guide to Poisonings.  Emergency Medicine Journal, 37(2), 30A – 30G.

Sturt, P. (2010). Toxicologic emergencies. In Kuntz Howard, P. (Ed), Sheehy’s Emergency Nursing Principles and Practice, 565 – 577.  St Louis: Mosby Elsevier.

Vanden Hoek, T., Morrison, L., Shuster, M., Sinz, E., Lavonas, E., Jeejeebhoy, F., et al. (2010). Part 12 Cardiac arrest in special situations: 2010 American Heart and Stroke Association guidelines for cardiopulmonary resuscitation and emergency cardiac care. Circulation. 2010 (122), S840-S846. doi:10.11611/CirculationAHA./110.971069

POISINDEX® & INDENTITEX® MICROMEDEX® System http://www.morganlens.com/use.html, retrieved July 13, 2007.

 
 
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