104 - Suicide/Self-Harm Flashcards
What is Durkeim’s theory of social integration?
4 reasons for suicide
- Altruistic
- Fatalistic
- Egotistic
- Anomie (community upheaval)
What are the signs of a benzodiazepine overdose?
drowsiness
coma
ataxia - reduced coordination
What are the signs of a TCA overdose? (amitryptiline, ritalin)
Large pupils Coma Hypothermia Dry mouth Tachycardia Resp. failure Arythmias - heart block
What are the signs of a paracetamol overdose?
Nausea Vomiting Bruising anorexia deafness sweating metablic acidosis Hypo/hyper glycaemia
What are the signs of an opiod overdose?
Small pupils
Bradypnoea
Coma
What are the signs of carbon monoxide poisoning?
headache Vertigo Nausea Vomiting Weakness Red lips Raised COhb
What are the signs of an asprin overdose?
Tinitus
lethergy
nausea
What can you give to treat a benzodiazepine overdose?
Flumazenil
Activated charole
What can you give to treat a TCA overdose?
NO antidote
IV HCO3- (sodium bicarb) to try reduced acidosis
What can you give to treat a Opioid overdose?
naloxone
What can you give to treat carbon monoxide poisoning?
O2, hyperbaric
What can you give to treat a paracetamol overdose?
N-acetyl cystine
What methods are available to reduce absorption/decontaminate after an overdose?
Forced emesis - ipecac syrup
Gastic lavage
Activated charcoal
Whole bowel irrigation
What drugs is activated charcoal ineffective against?
Metals or alcohol
How is whole bowel irrigation done?
Using an osmotically balanced fluid - polyethylene glycol electrolyte solution.
