Download Toxicology learning objectives File

Year 3
Be comfortable with the concepts of Year 2 plus the following:
Toxicology – General Approach
1) Understand the specific drug indications for decontamination options; enhanced
elimination & antidote administration & how to administer them
2) Review the management of cardiac arrest due to toxic exposure/ingestion
Toxicology – Specific agents (most high-yield but not an exclusive list)
Be confident in the risk assessment & management of following agents:
1) Herbicides/Pesticides readily available in Fiji – Paraquat, glycophosate,
organophosphates
2) Cardiovascular drugs – Calcium channel & B-blocking agents; Na+ channel blockade
(TCA’s; Propranolol; Carbamazepine; Local anaesthetics); Digoxin
3) Altered CNS – benzodiazepines; barbiturates; toxic alcohols; oral hypogylcemics
4) Other: Paracetamol
Year 2
Toxicology – General Approach
1) Have an approach for risk assessment and prediction of toxicity in overdose
2) Understand additional treatment options are available for some drugs including
decontamination options; enhanced elimination and the use of antidotes
3) Be able to recognise and manage acute toxidromes
4) Review ECG changes associated with some toxicological agents
5) Be aware of specific drugs that have risk of causing; severe toxicity at low dose (i.e. one pill
can kill); hypoglycaemia; severe life-threatening acidosis/cardiac arrhythmias or extreme
obtundation
Toxicology – Specific Agents (most high-yield but not an exclusive list)
Be aware of the toxic effects & management of following agents:
1) Herbicides/Pesticides readily available in Fiji – Paraquat, glycophosate, organophosphates
2) Cardiovascular drugs – Calcium channel & B-blocking agents; Na+ channel blockade (TCA’s;
Propranolol; Carbemazepine; Local anaesthetics); Digoxin
3) Altered CNS – benzodiazepines; barbiturates; toxic alcohols; oral hypogylcemics
4) Other: Paracetamol