1. What triggers SEROTONIN SYNDROME?

2. Define the mnemonic DUMBELS

3. Opiate:

4. Amitriptyline is an example of what kind of drug?

5. List ways that drugs or a 'toxidrome' can enter the body.

6. Poison

7. Pt reports taking full bottle of Tylenol and is experiencing right upper quadrant abdominal pain: abdo tender to palp - what stage of OD are they in and how long ago do you estimate the dosage was taken?

8. Tolerance:

9. Define the mnemonic SLUDGE

10. Pt reports taking full bottle of Tylenol and is experiencing Metabolic acidosis, renal failure, coagulopathies, recurring GI symptoms - what stage of OD are they in and how long ago do you estimate the dosage was taken?

11. You are called to an attempted suicide and when you arrive the fire department is sitting with an unconscious patient in the driveway of the home. Assessment shows bright red skin, cardiopulmonary arrest, and fire reports the patient started convulsing as they were extricating him from the car in the garage where he was found - what is causing the patients symptoms? (note the level of severity)

12. Pt reports taking full bottle of Tylenol and is at the point where their recovery will slowly begin, or liver failure will progress leading to death - what stage of OD are they in and how long ago do you estimate the dosage was taken?

13. What causes serotonin syndrome?

14. Drug

15. Synergism:

16. According to the EPINEPHRINE BLS PROTOCOL ALGORITHM, what is the correct dose of a 12 kg, 1 y/o male? What is the maximum number of doses and the time interval between doses?

17. Who is at risk for overdosing on prescription medications?

18. Poisonous:

19. Narcotic:

20. A family of 5 is c/o severe headache, confusion, drowsiness and when assessed they are all found to have dilated pupils and elevated, bounding HR - what could they likely be experiencing and what is the severity based on their symptoms?

21. Venomous:

22. Withdrawal syndrome:

23. A whole household exhibits the following symptoms: Nausea, Vomiting, diarrhea, and abdominal pain, facial flushing and respiratory distress - what might be to blame?

24. Opioid

25. According to the EPINEPHRINE BLS PROTOCOL ALGORITHM, what is the correct dose of a 32 kg 11y/o pt?