Toxicology / environmental injury · bedside workflow

Calculate on this page; scores auto-fill the progress note.

Guideline Toxicology / environmental injury guidance (see tool pages for exact version notes)Reviewed 2026-09-05
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Licensed clinicians only — about this Scene · Toxicology / environmental injury · bedside workflow
Do not share identifiable patient information (PHI). Discuss principles and workflow only — not a substitute for clinical judgement.

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Bedside steps

  1. APAP safety

    Check acetaminophen daily/single-dose limits and whether an acute ingestion reaches the toxic threshold or warrants NAC.

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  2. Antidotes

    Specific antidotes and key doses/points for common poisonings; for life-threatening cases prioritise supportive care + …

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  3. Opioid overdose · naloxone

    By setting and opioid dependence, gives the naloxone dosing strategy, emphasizing ventilatory support and observation f…

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  4. Carbon monoxide poisoningAlternate branch

    By presence of hyperbaric-oxygen indications and pregnancy, gives the 100% oxygen and hyperbaric oxygen direction.

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  5. Pediatric DKA fluidsAlternate branch

    Calculates initial bolus, deficit + maintenance fluid rate, insulin and potassium for DKA by weight and degree of dehyd…

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Progress note preview
[Toxicology / environmental injury · bedside workflow]
APAP safety:not calculated
Antidotes:not calculated
Opioid overdose · naloxone:not calculated
Carbon monoxide poisoning:not calculated
Pediatric DKA fluids:not calculated
Guideline:Toxicology / environmental injury guidance (see tool pages for exact version notes)
Reviewed:2026-09-05
For licensed clinicians only. Local calculation; does not replace clinical judgment or individualized shared decision-making. Integrate guideline version, patient preference, and bleed–thrombosis trade-offs.
元医生Bedside quick-calcToxicology / environmental injury · bedside workflowCalculate on this page; scores auto-fill the progress note.Guidelines: See version notes on this scene’s tool pages · See version notes on this scene’s tool pagesBedside steps1APAP safety2Antidotes3Opioid overdose · naloxone4Carbon monoxide poisoning5Pediatric DKA fluidsScan to calculate locallywww.yuandoctor.com/r/tox元医生 · 床旁工具

Save the PNG and share — /r/tox opens the same workflow (local calc, nothing uploaded).

For licensed clinicians only. Local calculation; does not replace clinical judgment or individualized shared decision-making. Integrate guideline version, patient preference, and bleed–thrombosis trade-offs.

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