Show Notes
Take Home Points
Always consider salicylate toxicity:
In patients with tachypnea, hyperpnea, AMS and clear lungs
In the presence of an anion gap metabolic acidosis with a respiratory alkalosis
Treat salicylate toxicity by alkalinizing the blood and urine to increase excretion
Avoid intubation until absolutely necessary. If you do have to intubate, minimize apneic time and consider awake intubation and nake sure your ventilator settings match the patient’s necessary high minute ventilation
Think about chronic salicylate toxicity in unexplained altered mental status, tachypnea or metabolic acidosis in elderly
Know indications for hemodialysis in salicylate toxic patients
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REBEL EM: Salicylate Toxicity
LITFL: Salicylates
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