Salicylate Intoxication in an Elderly Patient - Medical Algorithm

Are you evaluating an elderly patient?

Yes

Does the patient take daily and/or high doses of aspirin or other salicylate?

Yes

Has the patient had a deterioration in renal function?

Yes

Has the patient experienced?

• a change in mental status (delerium, dementia, confusion, disorientation, hallucinations, forgetfulness)?

Yes

• dehydration?

Yes

• unexplained fever?

Yes

• agitation or lethargy?

Yes

• metabolic acidosis?

Yes

• seizures?

Yes

• easy bruisability or bleeding?

Yes

• unexplained falling?

Yes

• hearing loss or tinnitus?

Yes

• deterioration in hygiene or self-care?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of findings that may be associated with salicylate intoxication

Should the patient's urine or serum be screened for salicylate levels?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
- Clinical Findings of Opioid Toxicity in Patient Treated for Pain
- Pseudosepsis Syndrome in Salicylate Intoxication
Laboratory Tests
- Acetaminophen Serum Levels (Rumach-Matthew Nomogram)

Therapy

Selection
- Risk Factors for Hepatocellular Injury in Pediatric Acetaminophen Overdose
- Treatment Line for Patient at Increased Risk for Acetaminophen (Paracetamol) Toxicity
Dosage Calculations
- Clinical Findings of Opioid Toxicity in Patient Treated for Pain
Prevention
- Pulmonary Syndromes Complicating Salicylate Therapy

Monitoring

Adverse Effects

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10

When to Suspect Salicylate Intoxication in an Elderly Patient

Purpose: To evaluate an elderly patients for findings that may indicate the presence of salicylate intoxication.

Evaluation

Results

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Power Your Solutions with 5,000+ Automated Medical Analytics

Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10