Description
This course is aimed at nurses working in general practice
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
Learning materials this week:
(released on Monday morning for on demand learning until the course ends – approximate timings)
- Pre-recorded tutorial with Kath = 75 minutes
- Further reading = 60 minutes
- Forum discussion topic = 10 minutes
- Crossword quiz = 10 minutes
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 as 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
Learning materials this week:
(released on Monday morning for on demand learning until the course ends – approximate timings)
- Pre-recorded tutorial with Kath = 75 minutes
- Further reading = 60 minutes
- Written task (clinical case nursing plan) = 60 minutes
- Multiple choice quiz = 10 minutes
Week 3
Renal System Toxins
- Discuss toxins that affect the patient’s renal system, including ethylene glycol, NSAID ingestion, baclofen and raisins / grapes
- Consider how we can identify a patient with acute kidney injury due to a toxin and the treatment options available, including peritoneal dialysis and haemodialysis
- 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
Learning materials this week:
(released on Monday morning for on demand learning until the course ends – approximate timings)
- Pre-recorded tutorial with Kath = 85 minutes
- Further reading = 60 minutes
- Forum discussion topic = 10 minutes
- Crossword quiz = 10 minutes
Week 4
Hepatic, Cardiac and Respiratory System Toxins
- Round up of other common toxins including those affecting the hepatic, cardiovascular and respiratory systems and other miscellaneous agents. We will look at identifying these patients, 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
Learning materials this week:
(released on Monday morning for on demand learning until the course ends – approximate timings)
- Pre-recorded tutorial with Kath = 70 minutes
- Further reading = 60 minutes
- Multiple choice quiz = 10 minutes
The course will be fully tutored by Kath Howie and will consist of 10 hours of CPD and will be provided in various formats, including tutorials, tasks, case scenarios, forum discussions and quizzes. This course is tutored for 4 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
Paula U-C –
very interesting course ,however i did find it quite intense and full on the lectures especially with most of them being over an hour in length i found i had to split them into 2/3 parts to feel i could properly take in the information .
Rated: Intermediate / Advanced level
(Qualified RVN in general practice >5 years – UK)
Helen B –
A really thorough and informative course, with excellent additional reading lists
Rated: Intermediate level
(Qualified RVN in general practice >5 years – UK)
Michelle D –
Great variety of toxins discussed and brilliant speaker
Rated: Intermediate level
(Qualified RVN in general practice >5 years – UK)
Laura M –
Amazing lectures each week and learnt so much more indepth about the mechanisms of commonly seen toxicities. Really engaging speaker and thoroughly enjoyed each week
Rated: Intermediate level
(Referral or specialist RVN – UK)
Paula C –
Really informative and enjoyable CPD, I would recommend to anyone who would like to learn that little bit more about toxicology.
Rated: Intermediate level
(Qualified RVN in general practice >5 years – UK)
Hannah B –
Clear in-depth explanation of nursing support.
Rated: Intermediate level
(Qualified RVN in general practice <5 years - UK)
Karen O –
Well delivered and throuogh information given on common toxins
Rated: Advanced level
(Qualified RVN in general practice >5 years – UK)
Billie W –
Very in-depth information
Rated: Intermediate level
(Qualified RVN in general practice >5 years – UK)