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Pediatric emergency medicine trisk 3133 3133

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Sensitive plant Spider plant Swedish ivy Umbrella Violets Wandering jew Weeping fig Weeping willow Wild onion Zebra plant Mushrooms Mushrooms cause an estimated 50% of all deaths from plant and fungi poisoning in the United States The difficulty in accurate identification of mushrooms makes reliance on such identification for appropriate management of ingestions inappropriate to guide ED care Two main groups of mushrooms can be characterized on the basis of the time interval between ingestion and symptom onset: those with the immediate onset of symptoms and those with delayed onset Regardless of the mushroom, the initial management for all suspected poisonings includes consideration of activated charcoal and other GI decontamination strategies Onset of symptoms within hours of ingestion usually confers a benign prognosis with careful attention to fluid and electrolyte management Most mushrooms have GI effects There are several general classes of mushrooms in this group, each possessing a unique toxicologic feature Some “early-onset” mushrooms cause muscarinic effects, usually within 15 minutes, such as sweating, salivation, colic, and pulmonary edema This syndrome responds to atropine therapy Other early-onset mushrooms cause anticholinergic effects, including drowsiness, followed by mania and hallucinations Another subgroup of early-onset mushrooms produces a severe gastroenteritis syndrome Hallucinogenic mushrooms such as those containing psilocybin make up another class of mushrooms with early-onset symptoms Finally, some mushrooms precipitate a disulfiram-like reaction if they are coingested with alcohol Management for all these agents consists of supportive care and careful monitoring of fluid status

Ngày đăng: 22/10/2022, 13:42