Резюме
Определение
Анамнез и осмотр
Ключевые диагностические факторы
- tachycardia
- hypertension
- hypotension
- miosis
- mydriasis
- bradycardia
- altered mental state
- hallucinations
- seizures
Другие диагностические факторы
- nausea
- vomiting
- abdominal pain
- diarrhea
- dyspnea
- skin flushing
- dermatitis
- dermatologic/mucosal irritation
- visible bleeding: epistaxis, melena, hematuria, hematemesis, hemoptysis
- headache
- chest pain
- muscle pain/swelling
- skin pallor
- easy bruising
- petechial spotting
- jaundice
- asterixis
- ascites
- palmar erythema
- spider angiomata
- diaphoresis
- dry skin
- fever
- urinary retention
- constipation
- hyperventilation
- fasciculations
- neuromuscular weakness
- altered sensation
Факторы риска
- foraging for wild plants to eat
- brewing wild plants into tea
- children found or suspected of ingesting plants
Диагностические исследования
Исследования, которые показаны в первую очередь
- ECG
- CBC
- serum electrolytes
- serum creatinine
- serum lactate
- serum BUN/creatinine ratio
- liver function tests
- INR
- ABG
- chest x-ray
Исследования, проведение которых нужно рассмотреть
- troponin
- serum digoxin levels
- response to physostigmine
Алгоритм лечения
all patients
Составители
Авторы
Susan Smolinske, PharmD, DABAT, FAACT
Clinical Consultant
New Mexico Poison and Drug Information Center
Adjunct Professor
Pharmacy Practice and Administrative Sciences
University of New Mexico
Albuquerque
NM
Раскрытие информации
SS is a member of the ToxED advisory board and consults with webPOISONCONTROL.
Cynthia K. Aaron, MD
Medical Director
Program Director Medical Toxicology
Regional Poison Center at Children's Hospital of Michigan
Professor of Emergency Medicine and Pediatrics
Wayne State University School of Medicine
Detroit
MI
Раскрытие информации
CKA owns personal stock in Merck. CKA was on the State of Michigan Public Health Advisory Council for 3 years, and consults with RubiconMD.
Выражение благодарностей
Dr Susan Smolinske and Dr Cynthia K. Aaron would like to gratefully acknowledge Dr Gerald F. O'Malley and Dr Rika N. O'Malley, previous contributors to this topic.
Раскрытие информации
GFOM and RNOM declare that they have no competing interests.
Рецензенты
Jessamine Soderstrom, MD, MBBS, FACEM
Clinical Toxicologist
Emergency Consultant
Emergency Department
Royal Perth Hospital
Perth
Australia
Раскрытие информации
JS declares that she has no competing interests.
Scott Phillips, MD
Clinical Faculty
Department of Toxicology
Rocky Mountain Poison & Drug Center
Denver
CO
Раскрытие информации
SP declares that he has no competing interests.
Judith Alsop, PharmD, DABAT
Poison Center Director
California Poison Control System, Sacramento Division
University of California Davis Medical Center
Sacramento
Associate Clinical Professor of Pharmacy
University of California San Francisco School of Pharmacy
San Francisco
Clinical Professor of Medicine
Volunteer Clinical Faculty
University of California Davis School of Medicine
Sacramento
CA
Раскрытие информации
JA declares that she has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
Список литературы
Основные статьи
Froberg B, Ibrahim D, Furbee RB. Plant poisoning. Emerg Med Clin North Am. 2007 May;25(2):375-433. Аннотация
Gummin DD, Mowry JB, Beuhler MC, et al. 2022 Annual report of the National Poison Data System(®) (NPDS) from America's Poison Centers(®): 40th annual report. Clin Toxicol (Phila). 2023 Oct;61(10):717-939.Полный текст Аннотация
Halpern JH. Hallucinogens and dissociative agents naturally growing in the United States. Pharmacol Ther. 2004 May;102(2):131-8. Аннотация
Gowdy JM. Stramonium intoxication: review of symptomatology in 212 cases. JAMA. 1972 Aug 7;221(6):585-7. Аннотация
Burkhard PR, Burkhardt K, Haenggeli CA, et al. Plant-induced seizures: reappearance of an old problem. J Neurol. 1999 Aug;246(8):667-70. Аннотация
Статьи, указанные как источники
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Отличия
- Viral gastroenteritis
- Bacterial gastroenteritis
- Acute myocardial infarction
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