eMedicine Specialties > Emergency Medicine > Toxicology

Plant Poisoning, Alkaloids - Tropane: Follow-up

Author: Richard A Wagner, MD, PhD, FACEP, Staff Physician, St. Joseph's / St. Mary's Hospitals, Tucson; Consultant, Arizona Drug and Poison Information Center
Coauthor(s): Samuel M Keim, MD, Associate Professor, Department of Emergency Medicine, University of Arizona College of Medicine
Contributor Information and Disclosures

Updated: Sep 23, 2009

Follow-up

Further Inpatient Care

  • Base admission decisions on patient's signs and symptoms.
    • Asymptomatic patients without signs of anticholinergic toxicity or altered mental status may be discharged after 6 hours of observation.
    • Admit symptomatic patients to an ICU setting for monitoring and treatment. They may be discharged after a symptom-free period of 6 hours without use of supportive therapy or antidotes and after appropriate consultations and follow-up have been arranged.

Patient Education

Miscellaneous

Medicolegal Pitfalls

  • Failure to make the diagnosis
  • Failure to obtain a toxicology consultation in a critically ill patient with polysubstance toxicity
 


More on Plant Poisoning, Alkaloids - Tropane

Overview: Plant Poisoning, Alkaloids - Tropane
Differential Diagnoses & Workup: Plant Poisoning, Alkaloids - Tropane
Treatment & Medication: Plant Poisoning, Alkaloids - Tropane
Follow-up: Plant Poisoning, Alkaloids - Tropane
Multimedia: Plant Poisoning, Alkaloids - Tropane
References
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References

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Further Reading

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Keywords

tropane, belladonna, belladonna alkaloids, jimson weed, loco weed, sacred datura, angel's trumpet, mandrake, henbane, moonflower, moonflower seeds, scopolamine, anticholinergic toxicity, anticholinergic syndrome, hallucinogen, hallucinogenic, alkaloid amines, alkaloid plant poisoning, atropine, hyoscyamine, alkaloid tropane, thorn apple, deadly nightshade

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Contributor Information and Disclosures

Author

Richard A Wagner, MD, PhD, FACEP, Staff Physician, St. Joseph's / St. Mary's Hospitals, Tucson; Consultant, Arizona Drug and Poison Information Center
Richard A Wagner, MD, PhD, FACEP is a member of the following medical societies: American College of Emergency Physicians
Disclosure: Nothing to disclose.

Coauthor(s)

Samuel M Keim, MD, Associate Professor, Department of Emergency Medicine, University of Arizona College of Medicine
Samuel M Keim, MD is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians, American Medical Association, American Public Health Association, and Society for Academic Emergency Medicine
Disclosure: Nothing to disclose.

Medical Editor

Michael S Beeson, MD, MBA, FACEP, Professor of Emergency Medicine, Northeastern Ohio Universities College of Medicine and Pharmacy; Attending Faculty, Summa Health System
Michael S Beeson, MD, MBA, FACEP is a member of the following medical societies: American College of Emergency Physicians, Council of Emergency Medicine Residency Directors, National Association of EMS Physicians, and Society for Academic Emergency Medicine
Disclosure: Nothing to disclose.

Pharmacy Editor

John T VanDeVoort, PharmD, Regional Director of Pharmacy, Sacred Heart & St. Joseph's Hospitals
John T VanDeVoort, PharmD is a member of the following medical societies: American Society of Health-System Pharmacists
Disclosure: Nothing to disclose.

Managing Editor

Michael Hodgman, MD, Assistant Clinical Professor of Medicine, Department of Emergency Medicine, Bassett Healthcare
Michael Hodgman, MD is a member of the following medical societies: American College of Medical Toxicology, American College of Physicians, Medical Society of the State of New York, and Wilderness Medical Society
Disclosure: Nothing to disclose.

CME Editor

John D Halamka, MD, MS, Associate Professor of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center; Chief Information Officer, CareGroup Healthcare System and Harvard Medical School; Attending Physician, Division of Emergency Medicine, Beth Israel Deaconess Medical Center
John D Halamka, MD, MS is a member of the following medical societies: American College of Emergency Physicians, American Medical Informatics Association, Phi Beta Kappa, and Society for Academic Emergency Medicine
Disclosure: Nothing to disclose.

Chief Editor

Asim Tarabar, MD, Assistant Professor, Director, Medical Toxicology, Department of Emergency Medicine, Yale University School of Medicine; Consulting Staff, Department of Emergency Medicine, Yale-New Haven Hospital
Disclosure: Nothing to disclose.

 
 
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