You are on the scene with a geriatric patient who is semi-responsive and lying in bed. EMS was alerted when a family member went to check on the patient. The patient appears confused when questioned, the skin is cool and dry, the heart rate is 42 beats/min, blood pressure is 96/68 mmHg, and respirations are 12 breaths/min. The family member states the patient just started a new medication yesterday–perhaps that is causing these findings. Which of these medications, if recently prescribed to the patient, could be the cause of the patient's symptoms?

Toxicological emergencies are caused by substances that impair health or cause death by entering the body or touching the skin. These emergencies include: intentional overdose, unintentional poisoning, occupational exposure, environmental hazards, envenomation, biologic and chemical warfare, and radiation illness.  Toxicological emergencies are often complex and require a deep understanding of pharmacology. For example, carbon monoxide poisoning can cause mild to severe symptoms, including headache, nausea, dizziness, confusion, seizure, and coma. Other important findings in poisoning may... Show more

Toxicological emergencies are caused by substances that impair health or cause death by entering the body or touching the skin. These emergencies include:
intentional overdose, unintentional poisoning, occupational exposure, environmental hazards, envenomation, biologic and chemical warfare, and radiation illness. 

Toxicological emergencies are often complex and require a deep understanding of pharmacology. For example, carbon monoxide poisoning can cause mild to severe symptoms, including headache, nausea, dizziness, confusion, seizure, and coma. Other important findings in poisoning may include: muscle rigidity, tremors, and fasciculations. 
 

Here are some tips for treating poisonings:
For poisons taken internally:
Look into the victim's mouth and remove all tablets, powder, or any material that is present
Examine the mouth for cuts, burns, swelling, unusual coloring, or odor 

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