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In every acute poisoning :
- VBG + Eletrolytes
- Keep pH normal
- Prevent seizure which can lower pH by BZDs
- Acetaminophen, Salicyclate level
- ECG : Can interpret with toxidrome
* Sodium blocker : QRS widening
* Potassium blocker : QT prolongation
* Beta blockers, Ca blocker : Slow HR, AV block, Low BP
* Brady family (Bradycardia + Hypotension) :
- Beta blockers : More likely Euglycemic or Hypoglycemic
- CCB : More likely Hyperglycemic
- Alpha 2 antagonist (clonidine) : With Opioid like features, may need RSI
- Cardiac glycoside : With HyperK and bizarre ECGs
Sent digoxin level
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