Oleander: Digoxin-specific Fab antibody fragments have been used successfully in an adult patient intoxicated with N. oleander.
Although not available for routine use in all countries even for digoxin poisoning, Fab fragments are a possibility to consider when N. oleander poisoning is unresponsive to conventional treatment.
Rhododendrens and Azaleas: When you need to use it, fill a 60 cc dose syringe with the powder, fill with water to about 3/4 capacity and shake well and drench by pouring slowly into the corner of the goats’ mouth. Carrying a large drench syringe in your first aid kit will make this easier: 6 tablespoons Epsom’s salts 2 teaspoon ground ginger 2 teasoon baking soda 2 teaspoon salt 4 Tablespoons or 4 tablets of Pepto Bismol (crushed)
Scopolamine: Not Fatal, time
SP-17: Not Fatal, time
Strychnine: There is no specific antidote for strychnine, but recovery from strychnine exposure is possible with early hospital treatment. Treatment consists of removing the drug from the body (decontamination) and getting supportive medical care in a hospital setting. Supportive care includes intravenous fluids, medications against convulsions and spasms, and cooling measures for high temperature. The patient should be kept in a quiet and darkened room, because excessive manipulation and loud noises may cause convulsions. Because these convulsions are extremely painful, an appropriate painkiller should be given. Treatment of strychnine poisoning involves an oral administration of activated charcoal which absorbs any unabsorbed poison within the digestive tract. Unabsorbed strychnine can be removed from the stomach by gastric lavage with tannic acid (strong tea) or potassium permanganate solutions to oxidize strychnine. Gastric lavage is the process of cleaning out the contents of the stomach. Seizures are controlled by anticonvulsants, such as phenobarbital or diazepam, along with muscle relaxants such as dantrolene to combat muscle rigidity. Chloroform or heavy doses of chloral, bromide, urethane or amyl nitrate can also be used to restrain the convulsions. Because diazepam, as the anticonvulsant of choice, is not effective in all cases, a combination with midazolam, fentanyl, or pancuronium is recommended in controlling the convulsions. The fatal outcome of strychnine poisoning demands an aggressive management with early intubation, control of muscle tremors, and prevention of rhabdomyolysis and renal failure. If the patient survives the first 24 hours after poisoning then recovery is probable.
Syrup of Ipecac: Activated charcoal will absorb ipecac syrup. Give activated charcoal only after ipecac syrup has produced vomiting.
Vecuronium: Not Fatal: anticholinesterase agents, e.g. neostigmine
no subject
Although not available for routine use in all countries even for digoxin poisoning, Fab fragments are a possibility to consider when N. oleander poisoning is unresponsive to conventional treatment.
Rhododendrens and Azaleas: When you need to use it, fill a 60 cc dose syringe with the powder, fill with water to about 3/4 capacity and shake well and drench by pouring slowly into the corner of the goats’ mouth. Carrying a large drench syringe in your first aid kit will make this easier: 6 tablespoons Epsom’s salts 2 teaspoon ground ginger 2 teasoon baking soda 2 teaspoon salt 4 Tablespoons or 4 tablets of Pepto Bismol (crushed)
Scopolamine: Not Fatal, time
SP-17: Not Fatal, time
Strychnine: There is no specific antidote for strychnine, but recovery from strychnine exposure is possible with early hospital treatment. Treatment consists of removing the drug from the body (decontamination) and getting supportive medical care in a hospital setting. Supportive care includes intravenous fluids, medications against convulsions and spasms, and cooling measures for high temperature. The patient should be kept in a quiet and darkened room, because excessive manipulation and loud noises may cause convulsions. Because these convulsions are extremely painful, an appropriate painkiller should be given. Treatment of strychnine poisoning involves an oral administration of activated charcoal which absorbs any unabsorbed poison within the digestive tract. Unabsorbed strychnine can be removed from the stomach by gastric lavage with tannic acid (strong tea) or potassium permanganate solutions to oxidize strychnine. Gastric lavage is the process of cleaning out the contents of the stomach. Seizures are controlled by anticonvulsants, such as phenobarbital or diazepam, along with muscle relaxants such as dantrolene to combat muscle rigidity. Chloroform or heavy doses of chloral, bromide, urethane or amyl nitrate can also be used to restrain the convulsions. Because diazepam, as the anticonvulsant of choice, is not effective in all cases, a combination with midazolam, fentanyl, or pancuronium is recommended in controlling the convulsions. The fatal outcome of strychnine poisoning demands an aggressive management with early intubation, control of muscle tremors, and prevention of rhabdomyolysis and renal failure. If the patient survives the first 24 hours after poisoning then recovery is probable.
Syrup of Ipecac: Activated charcoal will absorb ipecac syrup. Give activated charcoal only after ipecac syrup has produced vomiting.
Vecuronium: Not Fatal: anticholinesterase agents, e.g. neostigmine
Icon looks good! :D