BZD overdose benzodiazepines Flashcards

1
Q

BZD has what effect on CNS?

A

depresses it

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2
Q

uses for BZD

-4

A

insomnia, seizure, anxiety, rapid transquilisation

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3
Q

which BZD is good in the acutely agitated?

and why?

A

lorazepam

quick effect

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4
Q

BZD has what effect on what neurotransmitter?

is this neurotransmitter excitatory or inhibitory?

A

↑GABA

inhibitory

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5
Q

most lethal complication of BZD overdose?

A

respiratory depression

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6
Q

what is classical triad of symptoms from BZD overdose?

A

respiratory depression + ataxia + low consciousness

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7
Q

main sign on doing news chart?

A

low O2

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8
Q

ABG result on pt with BZD overdose?

A

resp acidosis

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9
Q

GCS score is high or low on BZD overdose?

A

GCS low

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10
Q

1st line Mx for BZD overdose?

A

IV fluids

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11
Q

2nd Line Mx for BZD overdose?

is this option regularly done?

A

FLUMAZENIL

no, rare to do

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12
Q

drug to treat BZD overdose?

A

Flumazenil

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13
Q

moa of flumazenil?

A

BZD antagonist

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14
Q

major SE of flumazenil?

A

seizures

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15
Q

pt has severe resp depression.

What is Mx?

A

mechanical ventilation

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16
Q

why are older people at high risk of any overdose

A

Reduced drug clearance with age

17
Q

BZD overdose,

what happens to pupil size?

A

stay same, no effect

18
Q

opiate overdose,

what happens to pupil size?

A

constricts

19
Q

Amphetamines, cocaine, LSD overdose,

what happens to pupil size?

A

dilates

20
Q

BZD overdose often causes death.

true or false?

A

false