GHB

Question 1

Important COMPLICATIONS OF GHB OD ( patient;s GCS 7 )

Answer 1

1- CNS depression : coma
2-Airway obstruction
3- Respiratory depression
4-Vomiting/aspiration pneumonia

Question 2

Immediate MX priorities in MX of GHB

Answer 2

1- Support airway 
2- Set up  for intubation 
3-Nurse in left lateral position / recovery 
4- Notify parents (in minors ) 
5- IVF Hartmans 20 ml/kg IV 
6- IV atropin 600 mcg stat

Question 3

Now the patient’s GCS 14 and wants to DAMA , what are the interventions ?

Answer 3

1- Call parents ( minor )
2- verbal deesclation ( meets patient’s need )
3- Show of force and increase security
4- oral sedation /parenteral sedation ( last resort )