poisoning

Question 1

TCA overdose symptoms

Answer 1

Early features relate to anticholinergic properties: dry mouth, dilated pupils, agitation, sinus tachycardia, blurred vision.

Question 2

TCA overdose ECG

Answer 2

sinus tachycardia
widening of QRS
prolongation of QT interval

Question 3

TCA overdose treatment

Answer 3

IV bicarbonate

Question 4

MDMA features

Answer 4

neurological: agitation, anxiety, confusion, ataxia
cardiovascular: tachycardia, hypertension
hyponatraemia
this may result from either syndrome of inappropriate ADH secretion or excessive water consumption whilst taking MDMA
hyperthermia
rhabdomyolysis

Question 5

salicyte poisoning

Answer 5

respiratory alkalosis -> metabolic acidosis

Question 6

digoxin toxicity

Answer 6

precipitated by thiazides and amiodarone

Question 7

management of organophosphate overdose

Answer 7

atropine

Question 8

treatment of cocaine overdose

Answer 8

benzos

Question 9

what vision change is seen in digoxin overdose

Answer 9

yellow/green vision and nausea

Question 10

what electrolyte abnormality is associated with MDMA

Answer 10

hyponatremia

Question 11

beta blocker overdose

Answer 11

1, atropine
2. glucagon