Poisoning

Question 1

How should paracetamol overdose be managed?

Answer 1

Activated charcoal if in 1 hr of ingestion
Acetylcycstiene if staggered overdose irrespective of amount
Acetylcycstiene levels at 4 hrs if single overdose
Liver transplantation if really bad

Question 2

How is salicylate poisoning managed?

Answer 2

IV bicarb

Haemodialysis

Question 3

How is beta blocker overdose managed?

Answer 3

Glucagon

Question 4

How are opioid overdoses managed?

Answer 4

400 mcg naloxone IM every 2-3 minutes

Question 5

How is bendiazepine overdose treated?

Answer 5

Flumazenil

Usually just supportive management

Question 6

How are tricyclic antidepressant overdoses managed?

Answer 6

IV bicarb

Question 7

How is lithium overdose managed?

Answer 7

Volume resus with normal saline

Haemodialysis needed in severe cases

Question 8

What is the treatment for warfarin overdose?

Answer 8

Vit K and prothrombin complex

Question 9

How is ethylene glycol overdose treated?

Answer 9

With fomepizole - inibitor of alcohol dehydrogenase

Question 10

What are the ECG changes for tca overdose?

Answer 10

Sinus tachy
Wide QRS
prolong QT interval