september, 2024

09sepAll Day04octToxicologyOnlineCPD Type:Tutored CPDSubject:Emergency & Critical CareCPD Hours:10 hoursCost:£205Length:4 weeksAVNAT points:10

Course Details

Week 1

Toxicology Introduction
The top 10 commonly encountered toxins in small animal patients will be reviewed along with up-to-date evidence-based guidelines looking at treatment recommendations and options
We will review the reported antidotes as well as the use of intra-lipid emulsion and other supportive measures we may implement in patients suffering from intoxication
Common complications of the various intoxications we can encounter will be reviewed as well as discussion of how we may pre-empt and manage these


Learning objectives
After completion of this week, participants should be able to:

Recognise the main toxins we see in practice
Develop a systematic approach to the intoxicated patient
Discuss the evidence bases looking at use of activated charcoal, intra-lipids and other antidotes, along with supportive measures for the intoxicated patient
Appreciate the main complications we may encounter with an intoxicated patient Understand how to address and nurse intoxicated patients into recovery

Week 2

Central Nervous System Toxins
Detailed discussion of the toxins that commonly affect the central nervous system including recreational drugs, human medications, organic toxins, household, and environmental concerns
We will look at decontamination of these patients as well effective nursing care and monitoring for the patient with severe CNS depression associated with intoxication
Discuss when an antidote may be indicated and the systemic effects, we can see associated with CNS intoxications


Learning objectives
After completion of this week, participants should be able to:

Understand the effects of the main toxins affecting the CNS
Consider how to provide emergency treatment for these patients and also develop a plan for longer term care
Discuss whether decontamination is appropriate for patients when the CNS is depressed
Understand the complications and challenges we may encounter

Week 3

Renal System Toxins
Discuss toxins that affect the patient’s renal system including ethylene glycol, NSAID ingestion, Baclofen, raisins/grapes amongst others.
Consider how we can identify a patient with an acute kidney injury due to a toxin and the treatment options available, including peritoneal dialysis and haemodialysis amongst others
Nursing care for these patients is intensive and a focus on fluid balance and electrolyte status is vital, so this will be covered in detail


Learning objectives
After completion of this week, participants should be able to:

Understand the different toxins that affect the renal system and how we can approach nursing and monitoring these patients
Consider approaches to acid-base stabilisation and electrolyte abnormality management
Understand why volume overload occurs, and how we monitor, prevent and manage this condition

Week 4

Hepatic, Cardiac and Respiratory System Toxins
Round up of other common toxins including those affecting the hepatic system, cardiovascular and respiratory systems and other miscellaneous agents. We will look at identifying these patients as well as common sources of intoxication and approaches to management
Review of the process of gastric lavage and contraindications associated with this method of contamination
Specific concerns associated with other toxins, including xylitol, baclofen, beta blockers, paracetamol, garlic and onions


Learning objectives
After completion of this week, participants should be able to:

Discuss appropriate treatment options and interventions for the mentioned toxins
Confidently provide nursing care and monitoring for these patients
Discuss gastric lavage and when it may not be appropriate
Appreciate the long term effects these toxins may or may not have on our patients


This course will be fully tutored by Kath Howie and will consist of 10 hours of CPD given in various formats, including tutorials, tasks, case studies, forum discussions and quizzes.  This course is tutored for 6 weeks, followed by a two week extension of untutored ‘catch up’ time, before the course officially ends.


All delegates will then have unlimited lifetime access to the learning material for future reference


September 9 (Monday) - October 4 (Friday)




Kath HowieVTS (ECC), RVN Principal Nurse Manager, Vets Now