Overdose Treatment Flashcards

1
Q

What should be checked first for recommendations about treating an overdose?

A

TOXBASE

Also has contact number for advice

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2
Q

What can be given first line to reduce absorption of many substances?

A

Activated charcoal

Within 1 hour

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3
Q

What do you give for aspirin overdose?

A

Activated charcoal
Bicarbonate IV

Haemodialysis if severe

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4
Q

What do you give for paracetamol overdose?

A

N-Acetylcysteine

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5
Q

What do you give for overdose of opioids?

A

Naloxone

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6
Q

What do you give for overdose of Benzodiazepines?

A

Flumazenil

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7
Q

What do you give for overdose of beta blockers?

A

Glucagon for heart failure or cardiogenic shock

Atropine for bradycardia

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8
Q

What do you give for overdose of of CCBs?

A

Calcium chloride

or

Calcium gluconate

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9
Q

What do you give for overdose of cocaine?

A

Diazepam

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10
Q

What do you give for overdose of cyanide?

A

Dicobalt edetate

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11
Q

What do you give for overdose of methanol or ethylene glycol?

A

Fomepizole

or

Ethanol

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12
Q

What do you give for overdose of carbon monoxide?

A

100% oxygen

Hyperbaric chamber

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13
Q

What are some examples of substances which contain methanol?

A

Solvents or fuels

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14
Q

What contains ethylene glycol?

A

Antifreeze

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15
Q

What are the symptoms of paracetamol OD?

A

Abdominal pain
Nausea + vomiting

Jaundice
Loss of co-ordination
Hypoglycaemia
Seizures

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16
Q

What are the symptoms of aspirin OD?

A

Sweating
Tachypnoea and deep breathing
Tinnitus
Temporary hearing loss

17
Q

What are the symptoms of TCA OD?

A

Excitability
Dry mouth
Large pupils
Irregular heart rhythm or tachycardia
Hypotension

18
Q

Why do you get hypotension in TCA OD?

A

TCAs cause myocardial sodium channel blockade resulting in hypotension and arrhythmia

19
Q

What are the symptoms of SSRIs OD?

A

Agitation
Tremor
Nystagmus
Severe muscle tension

20
Q

What are the symptoms of beta blocker OD?

A

Hypotension
Bradycardia

21
Q

What are the symptoms of CCB OD?

A

Agitation
Hypotension
Chest pain
Bradycardia

22
Q

What are the symptoms of benzodiazepines OD?

A

Co-ordination and speech difficulty
Nystagmus
Shallow breathing
Drowsiness

23
Q

What are the symptoms of opioid OD?

A

Miosis
Respiratory depression
Shallow breathing
Drowsiness

24
Q

What are the symptoms of cannabis OD?

A

Paranoia
Hallucinations
Numbness in arms and legs

25
Q

What are the symptoms of stimulant OD?

A

Anxiety and paranoia
Agitation
Hallucinations
High temperature
Chest pain
Tachypnoea
Irregular or fast heartbeat