Overdose

Question 1

What are the clinical features of Benzodiazapine OD?

Answer 1

Normal pupils
Altered LoC
Anxiety
Agitation

Question 2

What is the antidote to Benzodiazapines?

Answer 2

Flumazenil

NB only to be used in pure benzo OD

Question 3

What are the four clinical features of TCA OD?

Answer 3

1. Anticholenergic effects eg. Dry mouth, pupil dilatation, urinary retention.
2. Metabolic Acidosis
3. CNS symptoms, up or down
4. Arrhythmias - tachy and widening of complex

Question 4

What is the antidote to TCA OD?

Answer 4

Sodium Bicarbonate

Question 5

What are the clinical features of opioid OD?

Answer 5

Pinpoint pupils
CNS depression
Respiratory depression

Question 6

What is the antidote to opioid OD?

Answer 6

Naloxone

Question 7

What are the clinical features of paracetamol OD?

Answer 7

Asymptomatic upto 3/7 then N&V, abdo pain, jaundice,

Question 8

What is the antidote to paracetamol OD?

Answer 8

Acetylcisteine (Parvolex)

Question 9

What are the clinical features of aspirin OD?

Answer 9

N&V, tinnitus, restlessness, sweating, bounding pulse, increased respiratory rate

Question 10

What is the antidote to aspirin OD?

Answer 10

Sodium bicarbonate