Toxicosis Triage: The Poison You Didn't See Coming
Dr. Rosemary Stolzer-Bolton, DVM, DVMCanineFree Preview
A double toxicosis in a 28 kg Labrador — 1 lb of 72% cacao baking chocolate plus xylitol gum — creates a race against two overlapping timelines. This course follows Luna from dose calculation through decontamination, arrhythmia management, hypoglycemia crisis, and hepatic recovery, covering the decontamination decision tree, the Big Five toxicoses, advanced therapeutics including ILE and fomepizole, and integrative hepato/nephroprotection. Earn 1.0 RACE CE credit.
Learning Objectives
1Calculate theobromine and xylitol doses from product information and patient weight and apply published dose-response thresholds to determine clinical risk category and monitoring intensity
2Apply the four-step decontamination decision tree — emesis indications and contraindications, activated charcoal dosing with sorbitol, multiple-dose activated charcoal for enterohepatic recirculation toxins, and gastric lavage criteria
3Describe the mechanism, dose thresholds, clinical timeline, and management protocol for the five most common veterinary toxicoses: theobromine, xylitol, Lilium lilies, NSAIDs, and anticoagulant rodenticides
4Select the correct advanced therapeutic intervention for specific toxicoses including IV lipid emulsion for lipophilic toxins, N-acetylcysteine for acetaminophen, fomepizole for ethylene glycol, and atropine plus pralidoxime for organophosphates
5Implement an evidence-based hepato- and nephroprotection protocol using SAMe, silybin, NAC, and ursodiol during the post-toxicosis recovery phase and counsel owners on preventing future exposure
Course Syllabus
1
Meet Luna — The Lab Who Ate EverythingPreview
module-1-meet-luna
8 min
2
Decontamination Decision Tree
module-2-decontamination
9 min
3
The Big Five Toxicoses
module-3-common-toxicoses
10 min
Final Assessment
10 questions · Passing score: 70%
Complete all course modules to unlock the assessment. Upon passing, your CE certificate will be generated automatically.
4
Advanced Toxicology Therapeutics
module-4-advanced-therapeutics
9 min
5
Integrative Hepato- and Nephroprotection
module-5-integrative-support
8 min
6
Luna's Double Toxicosis Resolution
module-6-case-resolution
8 min
Toxicosis Triage: The Poison You Didn't See Coming — CE Course — CE Portal | Dr. Rosie DVM