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- National Drug Early Warning System
- Questions of the Week
- 1-19-2021 Water Beads: What Happens if They are Swallowed?
- 12-28-2020 What Holiday Hazards Occur in 2020?
- 11-23-2020 Nutmeg, a Potentially Uninvited Holiday Guest?
- 11-9-2020 How Safe is Your Hand Sanitizer?
- 11-03-2020 What are the Components of CBD Oil Products? Should Patients Discontinue CBD Oil When Being Treated for Depression?
- 10-27-2020 Trick or Treat: Is Halloween Candy Safe to Eat?
- 10-26-2020 What are the Risks for Homeopathic Medications and how are They Regulated
- 10-19-2020: Which Age Groups are Injured by Liquid Nicotine?
- 9-21-2020 How much money does the Tennessee Poison Center save Tennessee residents?
- 9-14-2020 How Should “Massive” Ingestions of Acetaminophen be Treated?
- 8-26-2020 What is the Treatment of Antihistamine Overdose?
- 8-12-2020 What Medications Should be Avoided with Peanut Allergies
- 8-3-2020 What are the Predictors of Hemolysis in the Setting of Cutaneous-Hemolytic (Systemic) Loxoscelism
- 7-27-2020 Why Should I Read the Question of the Week?
- 6-01-2020 Does COVID-19 Impact the Exposures Managed by the Tennessee Poison Center?
- 5-27-2020 When do Signs or Symptoms of Poisoning Require Treatment
- 5-19-2020 What is the Toxicity of Azithromycin?
- 5-06-2020 When is Bleach Dangerous?
- 4-27-2020 Is Chlorine Dioxide a Magic Potion to Treat Coronavirus?
- 4-20-2020 What Determines Which State Poison Center Receives Your Call?
- 4-13-2020 Thoughts on COVID-19 Vaccine
- 4-6-2020 Comments from our Faculty on Hydroxychloroquine
- 3-13-2020 Can One Make Hand Sanitizer?
- 03-02-2020 How Many Drugs Can You Safely Administer That Prolong the QT Interval?
- 2-24-2020 How Dangerous is Hydrogen Peroxide Ingestion?
- 02-03-2020 When Does Ondansetron Prolong the QT Interval?
- 1-29-2020 Alcohol Vaping Friend or Foe
- 1-06-2020 Why Are People Taking Fish Antibiotics and Are They Safe?
- 12-16-2019 What Perles Cause Rapid Demise with Arrhythmias and Seizures?
- 12-04-2019 What Are the Dangers from One-Pot Methamphetamine Laboratories?
- 11-26-2019 What Steps Does the FDA Recommend to Prevent Foodborne Illness?
- 11-19-2019 Does the Recent Ranitidine (Zantac®) Recall Mean You Should Stop Taking Zantac®?
- 11-14-2019 What Chemical was Identified in Bronchoalveolar Lavage (BAL) Specimens of Patients Suffering from Vaping Associated Lung Injury (EVALI)?
- 10-31-2019 When is Deferoxamine Indicated in Iron Toxicity
- 10-23-2019 When Should One Drink Pruno?
- 10-18-2019 When is Spravato® indicated to treat depression?
- 10-07-2019 Do Urine Drug Screens Reliably Detect Benzodiazepine Ingestion?
- 09-10-2019 When Should Asymptomatic Bradycardia Be Treated?
- 08-22-2019 Are You Aware That Vaping Has Been Reported to Cause Lung Disease?
- 08-15-2019 What is the Question of the Week
- 06-24-2019 Why are Bupropion Overdoses Dangerous?
- 05-15-2019 In Tennessee, What are the Top Substances in Poison Exposures and in Which Counties do They Occur?
- 05-06-2019 Is it Just A Little Pot? What is the Impact of Edible Marijuana on Children?
- 05-01-2019 What is Epidiolex®?
- 04-23-2019 What's The Deal With Kratom?
- 04-18-2019 What should you do if someone is bitten by a North American pit viper?
- 04-10-2019 What is LUCEMYRA®?
- 04-01-2019 What is PRIS, what are markers of severity, and how is the syndrome treated
- 03-27-19 Why do we give glucagon in beta blocker overdose?
- 02-25-19 What are the differences in the pharmacological effects and blood levels for THC and CBD when administered orally vs. inhalation?
- 02-14-19 Have you met the new Medical Director of the Tennessee Poison Center?
- 02-04-19 Does CBD oil cause a false positive for THC on UDS?
- 01-21-19 What is the role of increased NAC doses in patients with massive acetaminophen overdoses?
- 01-17-19 What are the concerns with ADHD medications?
- 01-10-19 Should you discontinue N-acetylcysteine if facial swelling and rash occur following the loading dose?
- 12-128-18 What holiday hazards are in the home?
- 12-10-18 My child ate some of our snow spray and took a taste of the Christmas tree preservative, should I be concerned?
- 12-03-18 Bits and Pieces
- 11-19-18 How do you identify and treat cyanide poisoning?
- 11-12-18 Why shouldn’t I mix household chemicals with bleach?
- 11-05-18 How long should oxygen be administered following carbon monoxide exposure?
- 10-08-18 What causes the “Red Tides” occurring in Florida?
- 10-08-18 How do you elevate an extremity to decrease swelling following TN snake envenomation?
- 10-02-18 What should you do about bradycardia following overdoses??
- 08-21-18 What is Palytoxin?
- 08-13-18 What is the Antivenom Index and how can the Tennessee Poison Center help?
- 08-06-18 What do you need to know about TPC in 2018?
- 06-25-18 How much muscle rub is too much?
- 06-12-18 Can consumption of home-brewed poppy tea be lethal?
- 05-14-18 Bathrooms and Nerve Agents?
- 05-07-18 What do you need to know about fentanyl?
- 04-30-18 What is the poor man's methadone?
- 04-23-18 What is JUULing?
- 04-16-18 What diagnosis should you consider when you see a patient with unexplained Vitamin K dependent coagulopathy?
- 04-14-18 How Can You Dispose of Unused/Expired Medications?
- 04-04-18 Phenibut: Is It a Smart Drug To Take?
- 03-26-18 Does naloxone reverse clonidine toxicity?
- 03-21-18 What causes false positives and false negatives on the Urine Drug Screen (UDS)?
- 03-12-18 Who Am I and How Did I Die?
- 03-06-18 What can the DEA tell you about changing patterns in use/trafficking of Drugs of Abuse?
- 02-26-18 Examining Prescription Drug Calls: Are National and Tennessee Poison Center Trends Changing?
- 02-19-18 What is the Tide Pod Challenge?
- 02-12-18 Why is Tennessee Poison Center Celebrating?
- 02-05-18 What is the latst update on treatment of opiate use disorder?
- 02-01-18 What is Shock Dope?
- 01-25-18 What are the dangers of button batteries?
- 01-10-18 Does Biotin Interfere with Lab Tests?
- 01-03-18 Does propofol have anticonvulsant properties?
- 11-28-17 How can you avoid food poisoning during the holidays?
- 11-13-17 How do toxicokinetics determine lithium toxicity and its treatment?
- 10-26-17 Can a Kit Predict Opiate Addiction?
- 09-18-17 What is the Role of ketamine in Major Depressive Disorder?
- 08-22-17 Why Does The Tennessee Poison Control Center Seldom Recommend GI Decontamination?
- 08-14-17 How many visits to the Emergency Department does Tennessee Poison Center prevent (and how much money does that save)?
- 07-24-17 What protection is required by Emergency Responders when exposed to fentanyl?
- 07-17-17 What is the toxicity of fentanyl analogs?
- 06-13-17 How does glucagon ameliorate the hypotension caused by beta-blocker toxicity?
- 06-05-17 What causes garlic breath (besides garlic bread and arsenic)?
- 05-31-17 Are you aware of the FDA warning about lead testing?
- 05-23-17 Can Fentanyl be absorbed transdermally?
- 05-16-17 Can Fentanyl be absorbed transdermally?
- 05-16-17 What is Tianeptine?
- 05-08-17 Is That Smell Significant?
- 05-02-17 Is This Carrot Edible?
- 04-23-17 Hazards lurking in your garage?
- 04-17-17 Are there any Prescription Drug Surveillance Programs at the Tennessee Poison Center?
- 04-10-17 Why Would Antiretroviral Drugs Be Abused?
- 03-30-17 Why is trisodium phosphate in my cereal and is it dangerous to my health?
- 03-23-17 How does Metformin differ from other oral hypoglycemic drugs?
- 03-17-17 Is the shamrock toxic?
- 03-09-17 What is 'pink'?
- 02-28-17 Why is it important to admit an asymptomatic patient with a bupropion overdose?
- 02-14-17 Should you take brain boosting supplements in 2017?
- 02-08-17 Why did the DEA delay its ruling to ban Kratom?
- 01-31-17 What should I know about exposure to e-cigarettes?
- 01-12-17 What are the concerns when “Snow Globes” break?
- 01-05-17 What gives you a high, slows your GI, and causes a multitude of cardiac arrhythmias?
- 01-02-17 How much nutmeg should you add to your eggnog to treat the post-holiday blues?
- 12-16-16 What are the dangers of button batteries?
- 12-07-16 What are the health concerns regarding fire retardants used in wildfire suppression?
- 11-21-16 What happens at the Tennessee Poison Center on Thanksgiving?
- 10-18-16 What’s new in the toxicology lab?
- 10-11-16 How many visits to the Emergency Department does Tennessee Poison Center prevent (and how much money does that save)?
- 10-05-16 Back to School – How toxic are most school supplies?
- 09-27-16 What hidden toxic dangers are present in some common science fair projects?
- 09-22-16 Is there hidden alcohol in your home? It’s not EXTRACT-ly what you’d expect …
- 09-16-16 Back to School – What are the dangers of borax slime and homemade salt dough?
- 08-30-16 School Is In Session: Can Plants Be a Problem?
- 08-23-16 Where did I put that economy sized bottle of diphenhydramine?
- 08-17-16 What do Medical Interns need to know about the Poison Center?
- 05-31-16 What are the many faces of heroin?
- 05-16-16 What are the hidden hazards at a backyard BBQ?
- 05-10-16 What allergy is related to tick bites and has a delayed reaction?
- 05-03-16 What are the commonly used but potentially toxic essential oils?
- 04-26-16 What is Bromo-DragonFly?
- 04-19-16 Remember the Question of the Week from September 1, 2015, titled “Is female Viagra (filbanserin) efficacious?”
- 04-13-16 Are there any toxicity concerns with Spring plants?
- 04-04-16 What innovative approaches are addressing prescription opiate use?
- 03-08-16 Do you know the seeds that kill?
- 02-17-16 Why do antipsychotic medications have street value?
- 01-26-16 Do you DEWshine?
- 12-15-15 Have you decorated your home with poisons for Christmas?
- 12-07-15 How Toxic are Our Holiday Plants?
- 12-01-15 What is the leading cause of injury death in Tennessee?
- 11-17-15 What happens on Thanksgiving at the Tennessee Poison Center?
- 11-10-15 What is the antidote for dabigatran-induced bleeding?
- 11-03-15 Why is Gabapentin ingestion increasing in nonmedical prescription opioid users?
- 9-14-15 How many visits to the Emergency Department does Tennessee Poison Center prevent (and how much money does that save)?
- 9-01-15 Is female Viagra (flibanserin) efficacious?
- 07-27-15 Are e-cigarettes still a concern?
- 07-20-15 What are the main points regarding oral methotrexate overdose?
- 07-06-15 Why did evacuations occur when acrylonitrile caught fire?
- 06-15-15 Colloidal Silver - To Take Nature's Antibiotic or Not?
- 06-08-15 Did you know Tea Tree Oil can cause life threats?
- 05-18-15 What's the important information to know about poison ivy, sumac, and oak?
- 05-04-15 FLAKKA - The new designer drug on the block?
- 04-20-15 Venomous spiders to watch out for in your home: what should you do if bitten by a spider?
- 04-06-15 What is the new synthetic drug 25I-NBOMe (N-Bomb)?
- 3-30-15 Powdered Booze - What will they think up next?
- 03-16-15 What exposures occur during refining?
- 3-09-15 What are the origins of oil?
- 3-2-15 Fast Facts about Tennessee Poison Center (TPC) and National Poison Prevention Week
- 02-02-15 Is RADON poisonous?
- 01-26-15 What causes pediatric poisoning fatalities?
- 01-19-15 What do you need to know about Carbon Monoxide (CO) exposure?
- 01-05-15 What is the outcome of overdose patients following out of hospital cardiac arrest?
- 12-15-14 What is the Toxicity of Common Holiday Hazards?
- 10-13-14 Why should we discuss the treatment of CCB overdose again?
- 10-6-14 Is 'Up to date' a good resource for treatment recommendations in overdose patients?
- 09-15-14 How does naloxone work to reverse the effects of ACE inhibitor toxicity?
- 08-04-14 Where can healthcare professionals learn to manage HAZMAT situations?
- 07-21-14 What can sting but cannot fly yet?
- 07-14-14 What is the life threat of Systemic Loxsoscelism?
- 07-06-14 How are minimum observation times determined?
- 06-16-14 Why do Health Care Professionals and Law Enforcement officials frown upon Mr. Smiley?
- 05-19-14 How does one obliterate one’s insect enemies?
- 04-14-14 Exposure to what toxin may have been caused the deafness suffered by Ludwig Van Beethoven?
- 04-07-14 What are electronic cigarettes and why are they so popular?
- 03-31-14 What is Ebola?
- 03-10-14 Does CO poisoning occur only during winter?
- 03-04-14 Should dental amalgams be removed due to the concern for mercury toxicity?
- 02-10-14 What is the clinical picture of Neuroleptic Malignant syndrome?
- 01-14-14 Update on West Virginia water hazard
- 01-13-14 Is the water in West Virginia safe to drink?
- 12-16-13 Is stringing Christmas tree lights hazardous to your health?
- 12-09-13 What is the Toxicity of Common Holiday Hazards?
- 10-14-13 What are the characteristics of sarin that make it 'popular' as a chemical weapon?
- 09-30-13 Why did the FDA require drug label changes for all fluoroquinolones?
- 08-05-13 What is acetyl fentanyl?
- 07-22-13 How toxic are pool chemicals?
- 07-15-13 Do hip prosthesis cause metal toxicity?
- 07-08-13 What is the status of epidurals after the fungal meningitis epidemic?
- 06-24-13 What is different about the recently FDA approved antitoxin for botulism?
- 05-13-13 What is the 'Cinnamon Challenge?'
- 05-06-13 What is the clinical picture of ricin poisoning?
- 03-11-13 Why is poison education important?
- 01-28-13 What is new in the mandatory reporting requirements to the Tennessee Department of Health (TN DOH) for health care providers?
- 01-21-13 What was the role of Tennessee Poison Center in the recent mass exposure of school children to carbon monoxide?
- 12-17-12 What is the law regarding pharmacy compounding versus drug manufacturing?
- 12-10-12 'Tis the Season to be Poisoned
- 12-03-12 What is the Toxicity of Common Holiday Hazards?
- 11-12-12 What is the history behind the development of BAL?
- 10-29-12 Is there an outpatient medical toxicology clinc?
- 09-17-12 What is the difference between the Poison Center and the Toxicology Consulting Service?
- 07-23-12 What is ozone?
- 07-16-12 Where can you find web-based learning regarding poisonings?
- 05-21-12 Why should you be concerned about concentrated laundry detergent packets?
- 04-30-12 How is the CDC taking steps to combat opiod deaths?
- 04-23-12 Why should differential for patients with cyclical vomiting include marijuana use?
- 04-09-12 What is Radon and why does it matter to human health?
- 04-02-12 Why is TN the state with the most pain medicines prescribed per capita?
- 03-26-12 Why are prescription drugs so available?
- 02-20-12 What new product is being promoted as
- 01-23-12 What does mercury have to do with beauty?
- 11-08-11 Did you read the New York Times article about Poison Centers?
- 10-24-11 What is a hookah?
- 10-17-11 Why would anyone want to lick a toad?
- 09-26-11 What can you do with the TPC Fall 2011 Newsletter?
- 09-19-11 What is the easiest way to find the Poison Help hotline number?
- 09-12-11 Bath Salts Again???
- 08-08-11 Where is Djibouti and what does it have to do with bath salts?
- 08-01-11 What do you need to know about venomous snakebites?
- 07-18-11 How do I tell the difference between cutaneous anthrax and a brown recluse spider bite?
- 07-11-11 What rocks you like a hurricane?
- 07-05-11 Why is it not a good idea to swallow 'snake' fireworks?
- 06-06-11 What role did Tennessee Poison Center play in the flood disaster?
- 06-27-11 What does anthrax have to do with heroin abuse?
- 05-10-11 Why will I have to update my PowerPoint presentations on acetaminophen?
- 04-11-11 What's happening in Roane County 2 years after the Fly Ash Disaster?
- 04-04-11 What is in Molly's Plant Food? (one of the latest recreational drug rages to affect Tennessee's teens and young adults)
- 03-28-11 What should you tell patients regarding purchase or ingestion of potassium iodide?
- 03-14-11 Are there any new issues with acetaminophen and prescription products?
- 02-07-11 How does pyridoxine work as the antidote for INH poisoning?
- 01-31-11 Are bath salts for more than bathing?
- 01-24-11 Why should you think of the weekdays with an cholinergic poisoning toxidrome?
- 01-10-11 Are we going to discuss CO exposure again?
- 12-14-10 Is stringing Christmas tree lights hazardous to your health?
- 12-06-10 What is the Toxicity of Common Holiday Hazards?
- 11-29-10 Why does pralidoxime (2PAM) NOT work for patients poisoned with carbamates?
- 11-22-10 Why is pralidoxime used for organophosphate poisonings?
- 11-01-10 What is Vitamin 'B-17'?
- 10-25-10 What do you do when fomepizole is not available?
- 09-20-10 What is the life threat of Systemic Loxsoscelism?
- 06-22-10 How do you avoid a 'STARI, STARI' night?
- 05-24-10 Is nicotine solution toxic?
- 05-10-10 Are there any 'PiHKALs' in Tennessee?
- 04-12-10 What happens if you smoke potpourri that contains 'Spice' or 'K2'?
- 03-01-10 What is parachuting and what does it have to do with drug abuse?
- 02-15-10 What is HIE Therapy?
- 01-11-10 What do you need to know about Carbon Monoxide (CO) exposure?
- 12-08-09 What is the Toxicity of Common Holiday Hazards?
- 11-16-09 Are there any pharmacokinetic or pharmacodynamic concerns associated with oseltamivir?
- 09-21-09 What are the current indications for H1N1 vaccination?
- 08-24-09 Why is Torch Lamp Oil Mistaken for Apple Juice?
- 08-10-09 Are garter snakes venomous?
- 08-03-09 How Toxic are Pool Chemicals?
- 07-27-09 Funding Implications for Tennessee
- 07-06-09 EMLA Revisited
- 06-29-09 What was the most common symptom noted in the sarin subway terrorist attack in Japan in 199
- 06-23-09 Any toxicity from EMLA cream?
- 06-08-09 Why do drugs of abuse cause a euphoric 'high'?
- 05-26-09 Where can I find reliable online information about medications and breastfeeding?
- 05-18-09 Where can healthcare professionals learn to manage HAZMAT situations?
- 04-28-09 What are some pitfalls with Tylenol and toddlers?
- 04-21-09 How Toxic are Fertilizers?
- 04-14-09 What do you want to know about GHB?
- 03-24-09 Why is agranulocytosis occurring in cocaine users?
- 03-09-09 What Products in the Home Contain Ethanol?
- 03-02-09 Any Toxicities From Flower Bulbs?
- 02-16-09 Who suffers delayed Neuropsychiatric Sequelae following Carbon Monoxide Exposure?
- 02-09-09 How do you know which CO detector to buy?
- 02-02-09 Carbon Monoxide Detector in Home
- 01-26-09 TVA Roane County Fly Ash Disaster What happened and what it means?
- 01-12-09 Melamine: What's up with that?
- 01-05-09 Is Anything New in GI Decontamination?
- 12-08-2008 What is the Toxicity of Common Holiday Hazards
- 3-14-2007 National Poison Prevention Week
- 03-30-07 Why the Agony About Ecstasy
- 04-23-07 What is the CYANOKIT (hydroxocobalamin) antidote
- 05-18-07 What are the Clinical Aspects of Cyanide Poisoning
- 09-26-07 Are Hand Sanitizers Poisoning Children
- 01-23-06 Inhalant Abuse Education
- 03-06-06 Children in Meth Labs
- 03-09-06 Saralyn's Announcement
- 05-01-06 Diphenhydramine and Adenosine - A problem
- 05-15-06 Avon's Skin So Soft Bug Guard
- 5-22-2006 Is DEET Safe and Effective
- 06-19-2006 TPC Helping Persons Who Don't Speak English
- Universal Medication List
- Newsletters and Reviews
- Useful Toxicology Links
- HIPAA Privacy Regulations
- Other Poison Prevention Resources
Poison Help Hotline
(800) 222-1222
Administrative Office
(615) 936-0760
10-18-16 What’s new in the toxicology lab?
Question of the Week
October 18, 2016
Whats new in the toxicology lab?
The toxicology section of Vanderbilt University Medical Centers Diagnostic Laboratories serves patients treated at VUH, VCH, One Hundred Oaks, and a variety of other clinics in the Middle Tennessee region. Our specialized test menu includes confirmations for a variety of common drugs of abuse, analysis of toxic alcohols including ethylene glycol, and general unknown drug screens. Our test directory is available at www.labvu.com. We are fully staffed 7am-4pm Monday-Friday, with limited staffing on evenings and weekends. We are very pleased to offer interpretive services for any of the tests we perform. These services are provided by our staff, which includes board certified clinical chemists, and can be requested by email (toxicologyconsult@vanderbilt.edu) or telephone (615-322-0163).
This question prepared by: Jennifer Colby, PhD, Medical Director of Toxicology and Esoteric Chemistry, Vanderbilt University Medical Center.
Dr. Colby is now the Director of the Toxicology Laboratory. She has provided us with an update of their services./ds
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