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concept_supportive_care [2025/08/19 06:51] – ↷ Page moved and renamed from wikitox:supportive_care to concept_supportive_care jkohtsconcept_supportive_care [2025/08/19 07:09] (current) – jkohts
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 Management of toxicology patients often focuses on the more 'exciting' topics of resuscitation, decontamination/elimination and the use of antidotes, however providing good supportive care to poisoned patients is a cornerstone to their care and in most cases is all that is needed to ensure a good patient outcome. Management of toxicology patients often focuses on the more 'exciting' topics of resuscitation, decontamination/elimination and the use of antidotes, however providing good supportive care to poisoned patients is a cornerstone to their care and in most cases is all that is needed to ensure a good patient outcome.
  
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-===== Airway and Breathing Support =====+===== - Airway and Breathing Support =====
  
 Compromise of either airway or breathing following poisoning normally occurs either as a result of hypoventilation due to respiratory depression or airway obstruction due to central nervous system depression. This can occur following the ingestion of many sedative agents. Compromise of either airway or breathing following poisoning normally occurs either as a result of hypoventilation due to respiratory depression or airway obstruction due to central nervous system depression. This can occur following the ingestion of many sedative agents.
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 It is often prudent to manage patients with decreased level of consciousness, who are not intubated, in the left lateral position to improve airway patenecy and reduce the chance of vomiting leading to aspiration. It is often prudent to manage patients with decreased level of consciousness, who are not intubated, in the left lateral position to improve airway patenecy and reduce the chance of vomiting leading to aspiration.
-===== Circulatory Support =====+ 
 +===== - Circulatory Support =====
  
 There are multiple potential mechanisms by which poisoning can cause circulatory compromise including: vasodilatation, negative inotropy and interferance with normal cardiac conduction. There are multiple potential mechanisms by which poisoning can cause circulatory compromise including: vasodilatation, negative inotropy and interferance with normal cardiac conduction.
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-===== Hydration =====+===== - Hydration =====
  
 Hydration can be compromised for a number of reasons in poisoned patients. Hydration can be compromised for a number of reasons in poisoned patients.
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-===== Thromboprophylaxis and pressure area care =====+===== - Thromboprophylaxis and pressure area care =====
  
 Sedated toxicology patients are at increased risk of both thrombosis and pressure injuries. Sedated toxicology patients are at increased risk of both thrombosis and pressure injuries.
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-===== Behavioural Management =====+===== - Behavioural Management =====
  
 Agitation is common in patients being managed post overdose. This may be behavioural in origin or more commonly related to drug effects such as stimulants or drug induced delirium. Agitation is common in patients being managed post overdose. This may be behavioural in origin or more commonly related to drug effects such as stimulants or drug induced delirium.