RT Book, Section
A1 Nelson, Lewis S.
A1 Howland, Mary Ann
A1 Lewin, Neal A.
A1 Smith, Silas W.
A1 Goldfrank, Lewis R.
A1 Hoffman, Robert S.
A2 Nelson, Lewis S.
A2 Howland, Mary Ann
A2 Lewin, Neal A.
A2 Smith, Silas W.
A2 Goldfrank, Lewis R.
A2 Hoffman, Robert S.
SR Print(0)
ID 1163006931
T1 Principles of Managing the Acutely Poisoned or Overdosed Patient
T2 Goldfrank's Toxicologic Emergencies, 11e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9781259859618
LK accesspharmacy.mhmedical.com/content.aspx?aid=1163006931
RD 2024/04/19
AB For  more  than  5  decades,  medical  toxicologists  and  poison  information  specialists  have  used  a  clinical  approach  to  poisoned  or  overdosed  patients  that  emphasizes  treating  the  patient  rather  than  treating  the  poison.3  Too  often  in  the  past,  patients  were  initially  ignored  while  attention  was  focused  on  the  ingredients  listed  on  the  containers  of  the  product(s)  to  which  they  presumably  were  exposed.  Although  astute  clinicians  must  always  be  prepared  to  administer  a  specific  antidote  immediately  in  instances  when  nothing  else  will  save  a  patient,  such  as  with  cyanide  poisoning,7  all  poisoned  or  overdosed  patients  benefit  from  an  organized,  rapid  clinical  management  plan  (Fig.  4–1).  However,  clinicians  should  use  caution  when  applying  management  advice  from  compendia  and  other  non–toxicologic-specific  sources  because  they  may  contain  serious  discrepancies  with  current  standard  expert  advice.2,10  Consultation  with  a  poison  control  center  or  a  medical  or  clinical  toxicologist  should  be  obtained  if  any  questions  or  concerns  arise  about  the  management  of  a  potentially  poisoned  or  exposed  patient.