Overdose Emergencies Flashcards
1
Q
Common Beta Blockers
A
- Atenolol
- Carvedilol
- Metoprolol
- Propranolol
2
Q
Beta Blockers signs and symptoms
A
- Bradycardia
- Hypotension
- Cardiac arrhythmias
- Hypothermia
- Hypoglycemia
- Seizures
3
Q
Adult and pediatric: Beta Blockers treatment
A
Normal Saline x1
Peds: 20mg/kg x2
4
Q
What do Calcium Channel Blockers do
A
- Lowers BP
- Prevents calcium from entering the cells and arteries of the body
- Calcium causes the heart and arteries to contract
5
Q
Common Calcium Channel Blockers
A
- Norvasc
- Cardizem
- Cardene
- Procardia
6
Q
Calcium Channel Blockers treatment
A
*Calcium Chloride 1g IV/IO over 2 mins
* Normal Saline X1
7
Q
Pediatric: Calcium Channel Blocker treatment
A
- Calcium Chloride
20mg/kg IV/IO
May repeat in 10 mins unti 1g - Norma Saline 20mg/kg IV/IO X2
8
Q
Cocaine Overdose signs and symptoms
A
- Tachycardia
- Supraventricular and ventricular cardiac arrhythmias
- Chest pain/STEMI
- HTN
- Seizures
- Excited delirium
- Hyperthermia
9
Q
Cocaine Overdose treatment
A
- Verserd 5mg IV/IO/IM/IN
x1
10
Q
Pediatric: Cocaine Overdose treament
A
- Versed 0.1mg/kg IV/IO
- Versed 0.2mg IM/IM
11
Q
TCA Overdose: Pt with a QRS
> 0.10 sec (2.5 small boxes)
A
- Sodium Bicarbonate 100 mEq IV/IO over 2 mins
If no change in 5 minutes: 50 mEq
Max dose 150 mEq - If hypotensive: NS 500mL
12
Q
Pediatrics: TCA Overdose: Pt with a QRS > 0.08 (2.0 small boxes)
A
- Sodium Bicarbonate
1 mEq /kg IV/IO over 2 mins
may repeat x2 in 5 mins
If hypotensive: NS 20 mL/kg
may repeat x2
13
Q
Unresponsive suspected narcotic OD monitor and transport (Vitals)
A
- Spontaneous respirations > 10
- Spo2 > 92%
- Etco2 < 45 mm hg
14
Q
Suspected narcotic OD, vitals within parameters
A
Monitor and transport
15
Q
Suspected OD not breathing
A
- Narcan: 0.5mg IV/IO/IM
may repeat in 2 mins
Max dose 8mg
