Poisoning & Overdose Flashcards
Reasons for poisoning
Accidental
factitious disorder imposed on another - munchausen by proxy
Deliberate self poisoning - often impulsive and rarely suicidal, often taken with alcohol
Methods of poisoning
Injection
Inhalation
Ingestion
Absorption
Irrigate CS gas with water?
NO
Effects of O/D on Aspirin
GI irritation
GI bleed
Vomiting
Metabolic acidosis = increased RR
Effects of O/D on Paracetamol
Nausea/Vomiting
Anorexia and abdominal pain
liver damage
Tri-cyclic antidepressant O/D
Cardiac arrhythmias e.g. tachycardia
Convulsions
Coma
Acidosis
Organophosphate poisoning
leads to excessive parasympathetic activity
bradycardia
Drooling
Wheezing
Blocks the enzyme acetylcholinesterase
Cocaine overdose
Dilated pupils
Sweaty
Agitated
Chest pain
Tachycardia
Hypertensive
TREATMENT:
Diazepam. Consider Aspirin and GTN