Overdoses

Question 1

What are the s/s of acetaminophen OD and treatment

Answer 1

N/V, RUQ pain, Hepatotoxicity
Activated charcoal and Acetyl cystine (Mucomyst)

Question 2

Insecticide OD /s and treatment

Answer 2

S/S: N/V, cramping, diarrhea, excessive salivation, meiosis, blurred vision, bradycardia, AMS
TX: Wash skin, activated charcoal, atropine

Question 3

Antidepressant OD s/s and treatment

Answer 3

S/s: Confusion, hallucination, urinary retention, hypotension, tachycardia, hypothermia
Tx: Activated charcoal, sodium bicarb, benzos, dantrolene (Serotonin syndrome: dantrolene, klonopin,cooling blankets)

Question 4

Opioid OD s/s and tx

Answer 4

S/s: Relaxed euphoria, drowsiness, bradypnea, myosis that eventually turns to mydriasis d/t sympathomimetic toxicity
Tx: activated charcoal, narcan, naloxone, Emetics are CONTRAINDICATED

Question 5

Benzo OD s/s and TX

Answer 5

S/s: relaxed euphoria
Tx: Respiratory and BP support, romazacon(Flumaxzenil), activated charcoal

Question 6

Ethylene glycol s/s and tx

Answer 6

S/s: loss of coordination, HA, slurred speech, n/v, shallow breathing, change in BP, renal failure
Tx: Promepazole

Question 7

What is the first and most important step in treating drug overdose

Answer 7

Obtain a history

Question 8

Signs and symptoms and treatment of Aspirin toxicity (Salicylate)

Answer 8

S/s: Tinnitis, dizziness, headache, hyperthermia, elevated LFTs, metabolic acidosis
Treatment: Charcoal, Sodium Bicarb in severe acidosis

Question 9

Treatment for a BB toxicity

Answer 9

Glucagon and atropine