Drug Overdose Flashcards
What is the prevalence A&E presentations due to poisoning?
1 - 1-2%
2 - 5-10%
3 - 25-40%
4 - >50%
2 - 5-10%
5-10% of all A&E admissions are due to poisoning. What number of these are admitted to hospital?
1 - 100,000
2 - 10,000
3 - 1000
4 - 100
1 - 100,000
Which age group is poisoning most common in?
1 - <5y/o
2 - <18y/o
3 - 30-65 y/o
4 - >65 y/o
1 - <5y/o
- children under 5 typically grab things and eat them
Which drug class accounts for 50% of all accidental deaths due to poisoning?
1 - Alcohol
2 - Tricyclic antidepressants
3 - Benzodiazepines
4 - Opioids
5 - Paracetamol
4 - Opioids
Which drug class accounts for 50% of all non-accidental (overdose) deaths due to poisoning?
1 - Alcohol
2 - Tricyclic antidepressants
3 - Benzodiazepines
4 - Opioids
5 - Paracetamol
5 - Paracetamol
Not all patients who are suspected of drug poisoning are administered to the ICU. Which of the following is NOT a typical drug that causes poisoning and subsequent admission to ICU?
1 - Alcohol
2 - Short acting B2 agonist
3 - Tricyclic antidepressants
4 - Benzodiazepines
5 - Recreational drugs
6 - Opioids
7 - Paracetamol
2 - Short acting B2 agonist
A-E is the standard approach for any patient with suspected poisoning. However, this is NOT the case in which 2 of the following?
1 - organophosphate poisoning
2 - opioid overdose
3 - smoke inhalation
4 - cyanide if exposed to fire
1 - organophosphate poisoning
4 - cyanide if exposed to fire
A-E is the standard approach for any patient with suspected poisoning. However, this is NOT the case in organophosphate poisoning or cyanide if exposed to fire. Which of the following is NOT true about organophosphates?
1 - used routinely in farming and industry
2 - cannot be absorbed across the skin but can be inhaled
3 - PPE is required before any assessment on the patient
4 - patients clothes should be removed
2 - cannot be absorbed across the skin but can be inhaled
- this is so dangerous because it CAN be absorbed across the skin barrier
- crucial that the patient is stripped and you wear PPE
A-E is the standard approach for any patient with suspected poisoning. However, this is NOT the case in organophosphate poisoning or cyanide if exposed to fire. Which of the following is NOT true about cyanide?
1 - routinely available
2 - common in house and industrial fires
3 - patient requires an antidote immediately
1 - routinely available
- not common anymore
- BUT can be found in patients that have been in fires
If you suspect a patient has been poisoned and the substance can be identified, what is the name of the tool that can be used to identify if antidotes or other agents need to be given?
1 - BNF
2 - NICE guidelines
3 - TOXBASE
4 - all of the above
3 - TOXBASE
A toxidrone is a syndrome of symptoms caused by toxic poisoning. Patients could be poisoned due to excessive anti-cholinergic. Which of the following would NOT happen if a patient took too much of an anti-cholinergic?
1 - increased HR
2 - increased RR
3 - increased BP
4 - increased temperature
5 - increased pupil size
6 - increased bowel movements/sounds
7 - reduced sweating
6 - increased bowel movements/sounds
- we would see reduced bowel movement and sounds
- cholinergics are involved in digestion, so stop these and the bower stops/slows
A toxidrone is a syndrome of symptoms caused by toxic poisoning. Patients could be poisoned due to excessive anti-cholinergic, which can cause the signs in the picture attached. Which of the following is NOT an anti-cholinergic drug class?
1 - antihistamines
2 - tricyclic antidepressants
3 - antiparkinsonian agents
4 - antispasmodics
5 - phenothiazines (antipsychotics),
6 - nicotine
7 - atropine
6 - nicotine
- this is a cholinergic agonist
- Amitriptyline a tricyclic antidepressants is the most common drug used in overdose
A toxidrone is a syndrome of symptoms caused by toxic poisoning. Patients could be poisoned due to excessive cholinergic. Which of the following would NOT happen if a patient took too much of an cholinergic?
1 - decreased HR
2 - no change in RR
3 - no change in BP
4 - no change in temperature
5 - reduced pupil size
6 - increased bowel movements/sounds
7 - increased sweating
1 - decreased HR
- HR typically doesn’t change
A toxidrone is a syndrome of symptoms caused by toxic poisoning. Patients could be poisoned due to excessive cholinergic, which can cause the signs in the picture attached. Which of the following is NOT an cholinergic drug class?
1 - antihistamines
2 - organophosphates
3 - carbamate insecticides
4 - nerve agents
5 - nicotine
6 - pilocarpine
7 - edrophonium
1 - antihistamines
A toxidrone is a syndrome of symptoms caused by toxic poisoning. Patients could be poisoned due to excessive hallucinogenic. Which of the following would NOT happen if a patient took too much of an hallucinogenic?
1 - increased HR
2 - increased RR
3 - increased BP
4 - no change in temperature
5 - increased pupil size
6 - increased bowel movements/sounds
7 - increased sweating
7 - increased sweating
- typically does not affect sweating
A toxidrone is a syndrome of symptoms caused by toxic poisoning. Patients could be poisoned due to excessive hallucinogens, which can cause the signs in the picture attached. Which of the following is NOT an hallucinogenic drug class?
1 - Phencyclidine
2 - cocaine
3 - LSD
4 - MDMA (ecstasy)
2 - cocaine