The Toxicology Handbook for Clinicians

The Toxicology Handbook for Clinicians

1 th Edition

By Carson R. Harris, MD, Senior Staff Emergency Physician, Director, Clinical Toxicology Consulting Service, Emergency Medicine Department, Regions Hospital, St. Paul, Minnesota; Associate Professor, Department of Emergency Medicine, University of Minnesota Medical School; Assistant Clinical Professor, College of Pharmacy, University of Minnesota; Consultant for the Hennepin Regional Poison Center, Minneapolis, Minnesota


Section I - Common Ingestions and Exposures You Might See

Chapter 1 Salicylates (Aspirin)
Chapter 2 Acetaminophen
Chapter 3 Antidepressants
1. Tricyclic Antidepressants
2. Selective Serotonin Reuptake Inhibitors
3. Lithium
Chapter 4 Benzodiazepines
Chapter 5 Atypical Antipsychotics
Chapter 6 Antihistamines and Anticholinergics
Chapter 7 Organophosphate Pesticides
Chapter 8 Cardiovascular Drugs
1. Calcium Channel Blockers
2. B-Adrenergic Receptor Antagonists
3. Digoxin
Chapter 9 Drugs of Abuse
1. Cocaine
2. Amphetamine and Methamphetamine
3. MDMA (Ecstasy)
4. Heroin
5. Marijuana (THC)
6. Mushrooms (Hallucinogenic)
7. Selected New Drugs of Abuse
Chapter 10 Date-Rape Drugs
Chapter 11 Toxic Alcohols
1. Methanol
2. Ethylene Glycol
3. Isopropyl Alcohol
Chapter 12 Metals: Arsenic, Lead, Mercury, and Metal Fume Fever
Chapter 13 Caustic Ingestions
Chapter 14 Hydrocarbons
Chapter 15 Toxic Gases
1. Cyanide
2. Carbon Monoxide
3. Chloramine
4. Hydrogen Sulfide
Chapter 16 Snakes and Spiders
1. Snakes
2. Spiders
Chapter 17 Toxic Foods
1. Ciguatera Fish Poisoning
2. Tetrodotoxin Poisoning
3. Scombroid Fish Poisoning
4. Shellfish Toxicology

Section II - Special Tox Conditions

Chapter 18 Methemoglobinemia
Chapter 19 Rhabdomyolysis
Chapter 20 Prolonged QT/QRS
Chapter 21 Toxin-Induced Seizures
Chapter 22 Metabolic Acidosis with Anion Gap
Chapter 23 Osmolal Gap
Chapter 24 Over-Anticoagulation
Chapter 25 Chemical Warfare (Primer)

Section III - Toxicology Mnemonics and Useful Pearls

Appendix A Toxicology Mnemonics, Acronyms, and Pearls
Appendix B The Toxicology Lab
Appendix C Antidotes
Appendix D Street Names for Drugs of Abuse
Appendix E Adverse Effect Monitoring