Overdoses

Question 1

Tricyclic Antidepressants

Answer 1

Anticholinergic effects (mydriasis, tachycardia, dry mouth, flushed skin, muscle twitching, decreased peristalsis) and cardiotoxic effects Tx: Activated Charcoal

Question 2

Ferrous Sulfate

Answer 2

Nausea, abd pain, then seeming improvement of symptoms followed by acidosis , coagulopathy, hypoglycemia and hepatotoxicity Tx: Whole bowl irrigation, Chelation w/ deferoxamine

Question 3

Lead

Answer 3

Abd pain, constipation, HA, irritability, coma, convulsions, motor delays. Tx: Charcoal, whole bowl irrigation,

Question 4

Methamphetamine

Answer 4

Agitation ,psychosis, Sz, Htn, Tachy

Question 5

Destromethorphan

Answer 5

From robitussin and other OTCs N/V, nystagmus, mydriasis/miosis, HTN, dizziness, lethargy, agitation, ataxia, euphoria, hallucination. Tx: supportive

Question 6

Salicylates

Answer 6

Vomiting, hyperpnea, tinnitus, lethargy, CNS depression when severe

Question 7

PCP

Answer 7

Mild: Lethargy, euphoria, hallucinations, bizarre/violent behavior. Hypersalivation/lacrimation. Nystagmus.

Severe: Adrenergic hyperactivty (HTN, Tachycardia, diaphroesis, Hyperthermia), cardiac arrhythmia hyperthermia

Question 8

Acetaminophen

Answer 8

Late encephalopathy, met. acidosis

Question 9

GHB

Answer 9

Early: Euphoria, delirium, agitation

Later: Coma

Question 10

Benzos

Answer 10

CNS Depression, lethargy, slurred speech, ataxia, coma, resp. arrest, hyporeflexia,