COURSE UNIT TITLE

: APPROACH PRINCIPLES TO POISONED PATIENTS

Description of Individual Course Units

Course Unit Code Course Unit Title Type Of Course D U L ECTS
TOK 6066 APPROACH PRINCIPLES TO POISONED PATIENTS ELECTIVE 2 2 0 9

Offered By

Toxicology

Level of Course Unit

Third Cycle Programmes (Doctorate Degree)

Course Coordinator

PROFESSOR DOCTOR ŞULE KALKAN

Offered to

Toxicology

Course Objective

The evaluation of sign and symptoms of poisoning patient, learning the management of treatment, evaluating the flow charts of diagnosis and treatment, learning the effectiveness of decontamination methods, learning the antidote and principles of use, to make a decision for follow-up

Learning Outcomes of the Course Unit

1   1. To evaluate the physical examination findings of poisoning patients
2   2. To make first and emergency management of poisoning patient
3   3. To define of decontamination methods and effectiveness
4   4. To discuss the principles of use of antidote
5   5. To make a decision for follow-up
6   6. To plan the management of poisoning patients

Mode of Delivery

Face -to- Face

Prerequisites and Co-requisites

None

Recomended Optional Programme Components

None

Course Contents

Week Subject Description
1 Management to the Poisoned Patient (Advanced Life Support in the Poisoned Patient , Vital Signs and Toxic Syndromes, to make a decision for follow-up)
2 History of poisoning, frequent poisonings in the world and in Türkiye, role of the Poison Information Centers, non-toxic exposure)
3 Techniques and their effectiveness are used to prevent absorption(Syrup of Ipecac, gastric lavage, activated charcoal, cathartics and whole Bowel Irrigation, etc.
4 Techniques and their effectiveness are used to enhance elimination (Forced diuresis, manipulation of urinary pH and extracorporeal techniques)
5 Antidotes and use of evidence-based
6 Laboratory principles and diagnostic imaging in the management of poisoned patient
7 Cardiovascular principles in the management of poisoned patient (toxic agents which cause to blood pressure, heart rate and conduction disturbances , diagnosis and management
8 Neurological principles in the management of poisoned patients (toxic agents to the CNS, diagnosis and management)
9 Respiratory principles in the management of poisoned patients (toxic agents to the respiratory system , diagnosis and management)
10 Gastrointestinal principles in the management of poisoned patients (gastrointestinal irritants, toxic agents to the liver, diagnosis and management)
11 Neurological principles in the management of poisoned patients (nephrotoxic agents, diagnosis and management)
12 Fluids-Electrolytes and Acid-Base Disturbances in the Poisoned Patient (toxic agents which cause to fluids-electrolytes and acid-base balance disorders)
13 Reproductive and perinatal principles in the toxicology (teratogenic agents, toxicology problems in the perinatal, neonatal withdrawal syndrome and transition to milk)
14 Reproductive and perinatal principles in the toxicology (teratogenic agents, toxicology problems in the perinatal, neonatal withdrawal syndrome and transition to milk)

Recomended or Required Reading

1. Birinci Basamağa Yönelik Zehirlenmeler Tanı ve Tedavi Rehberleri http://ekutuphane.tusak.saglik.gov.tr/kitaplar/200712101403540.zehirlenmetaniweb.pdf
2. Tunçok Y, Kayaalp SO. Akut ilaç zehirlenmesi tedavisinde genel ilkeler. Içinde: Kayalap SO, ed, Rasyonel Tedavi Yönünden Tıbbi Farmakoloji, 12. baskı, Ankara, Feryal Matbaacılık, 2009: 127-131.
3. Olson KR (ed). Poisoning and Drug Overdose, 4th edition, Lange Medical Books/McGraw Hill, USA, 2004.
4. Goldfrank LR, Flomenbaum NE, Lewin NA, Howland MA. Hoffman RS, Nelson L. Goldfrank s Toxicologic Emergencies. 7th edition, Mc Graw Hill, USA, 2002.
5. Ellenhorn MJ, Schonwald S, Ordog G, Wasserberger J. Ellenhorn s Medical Toxicology. 2nd edition. Williams and Wilkins, 1997.
6. Toll LL and Hurlbut KM (Eds): POISINDEX® System. MICROMEDEX, Greenwood Village, Colorado

Planned Learning Activities and Teaching Methods

Assessment Methods

SORTING NUMBER SHORT CODE LONG CODE FORMULA
1 FIN FINAL EXAM
2 FCG FINAL COURSE GRADE FIN*1
3 RST RESIT
4 FCGR FINAL COURSE GRADE (RESIT) RST*1


Further Notes About Assessment Methods

None

Assessment Criteria

To be succesful in final exam

Language of Instruction

Turkish

Course Policies and Rules

To be announced.

Contact Details for the Lecturer(s)

Prof. Şule Kalkan
sule.kalkan@deu.edu.tr
tel: 4123905

Office Hours

To be announced.

Work Placement(s)

None

Workload Calculation

Activities Number Time (hours) Total Work Load (hours)
Lectures 15 2 30
Tutorials 15 2 30
Preparations before/after weekly lectures 15 9 135
Preparation for final exam 1 28 28
Final 1 2 2
TOTAL WORKLOAD (hours) 225

Contribution of Learning Outcomes to Programme Outcomes

PO/LOPO.1PO.2PO.3PO.4PO.5PO.6PO.7PO.8PO.9PO.10PO.11PO.12PO.13PO.14
LO.152351111151115
LO.252351511151115
LO.352351511155115
LO.452351511155115
LO.512351511155115
LO.611551511155115