Month January 2019
CCC Critical Care compendium 340

Digibind

Digibind: trade name for digoxin antidote containing Digoxin-specific antibody Fab fragments; prudent to administer based on a considered risk assessment and before the life-threatening manifestations of digoxin toxicity develop

CCC Critical Care compendium 340

Digoxin Toxicity

Digoxin toxicity is characterised by gastrointestinal distress, hyperkalemia and life-threatening dysryhthmias, including increased automaticity and AV nodal blockade

CCC Critical Care compendium 340

Activated Charcoal

Activated Charcoal: decontamination agent; absorbing molecules of drug on its surface -> inhibiting their absorption by as much as 50% -> excretion in faeces

CCC Critical Care compendium 340

Opioid Overdose

Opioid Overdose: miosis; CNS depression; respiratory depression; complications of hypoxia: seizures, dysrrhythmia, brain injury

CCC Critical Care compendium 1200

Paraquat Poisoning

Paraquat Poisoning; highly toxic herbicide; common agent in suicide in 3rd world; leading single agent causing death from pesticide poisoning in many countries including Sri Lanka

CCC Critical Care compendium 340

Sedative Toxidrome

Sedative toxidrome: agents - opioids; benzodiazepines; barbiturates; baclofen (may mimic brain death, suspect in MS patients); clonidine (mimics opioid toxidrome with marked bradycardia and hypotension)
GHB

CCC Critical Care Compendium 680

SIADH DDx

SIADH = Syndrome of inappropriate antidiuretic hormone secretion. Important cause of HYPOnatraemia