Overdose

Question 1

opioid overdose- respiratory rate less than 12

Answer 1

naloxone- Narcan only until respiratory rate is normal not return to normal level of consciousness– NEVER activated charcoal

Question 2

benzodiazepine overdose

Answer 2

Flumazenil

Question 3

Acetaminophen overdose

Answer 3

N-acetyl cysteine, can also uses activated charcoal if 4 hours within ingestion

Question 4

Tachycardia, elevated blood pressure, respiratory rate, mydriasis, CNS stimulation.

Answer 4

anti-histamines, tricyclics, parkinson’s meds, sympathomemetics- cocaine, pseudoephedrine, caffeine, LSD, ecstacy

Question 5

Decreased respiratory rate, decreased mental status, physiologic depression, miosis

Answer 5

EtOH, benzos, organophosphate- insectacides, toxic alcohols

Question 6

Salicylate overdose (ASA) (peto-bismol) topical wart remover, wintergreen pain relievers- (fatal - 3 grams in children; 10-30 grams in adults)- sx hypertnea- rapid deep breathing, metabolic alkalosis, cerebral glucose can be low, may need dialysis

Answer 6

Activated charcoal within 2 hours of ingestion; activated bicarb to neutralize urine, fluids, glucose,