Posioning Flashcards

(34 cards)

1
Q

hyperventilation, tinnitus, deafness, vasodilatation, sweating - which drug OD?

A

Aspirin

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2
Q

Treatment for aspirin overdose?

A

Sodium bicarbonate, haemodialysis

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3
Q

Drug OD that may require dialysis?

A

Salicylates, lithium

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4
Q

Monitoring in aspirin overdose?

A

Monitor plasma-salicylate level, pH, electrolytes

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5
Q

Coma, respiratory depression, pinpoint pupils - which OD?

A

Opioid

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6
Q

Sx of paracetamol OD

A

Sx: N&V, RUQ pain (hepatic necrosis, worst 3-4d after overdose)

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7
Q

drowsiness, ataxia, dysarthria, nystagmus (occasionally respiratory depression and coma) - which drug OD?

A

Benzodiazepine

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8
Q

Treatment for benzo OD?

A

Flumazenil

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9
Q

Initial treatment for TIA

A

Tx: aspirin 300mg for 2w

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10
Q

Management for ischaemic stroke

A

Dx: CT then MRI with diffusion
Tx:
≤4.5h and no contraindication to thrombolysis: thrombolysis (alteplase) then aspirin 300mg for 2w
>4.5h or contraindication to thrombolysis: aspirin 300mg for 2w
Secondary prevention: clopidogrel 75mg for life

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11
Q

Doses in status epilepticus

A

Buccal midazolam 10mg
IV lorazepam 0.1mg/kg

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12
Q

Community tx of meningitis?

A

Benzylpenicillin or cefotaxime (give IM before urgent transfer to hospital then IV)
Sx overlap with subarachnoid haemorrhage

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13
Q

Verbal response component of GCS?

A
  1. Oriented
  2. Confused
  3. Words
  4. Sounds
  5. None
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14
Q

Motor response of GCS?

A
  1. Obeys commands
  2. Localises
  3. Withdraws
  4. Abnormal flexion (decorticate)
  5. Abnormal extension (decerebrate)
  6. None
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15
Q

cardiac arrest management

A

CPR 30:2 (attach defibrillator)
Assess rhythm
Shockable (VF or pulseless VT) - 1 shock
Non-shockable (PEA or asystole) - no shock
CPR 30:2 for 2m
Assess rhythm…

Adrenaline 1mg of 1:10,000 IV (repeat every 3-5m)
Amiodarone 300mg IV (after 3 shocks)
Reversible causes of cardiac arrest:
‘The H’s’ - hypoxia, hypovolaemia, hypo-/hyper-kalaemia, hypothermia
‘The T’s’ - thrombosis, tension pneumothorax, tamponade, toxins

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16
Q

1, V5, V6 leads - which ACS?

A

Left circumflex artery
Lateral MI

17
Q

V1-V4 leads?

A

anterior MI (anterior/septal)
LAD

18
Q

II, III, avF - which MI and which artery is affected?

A

Inferior MI
Right coronary artery (RCA)

19
Q

Seconary prevention - ‘BADS’
ACS

A

BB - bisoprolol 2.5mg PO
ACEi - ramipril 1.25mg PO
Dual antiplatelets - aspirin 75mg and clopidogrel 75mg PO
Statin - atorvastatin 80mg PO

20
Q

Acute treatment of ACS?

A

“MONAC”
Morphine 10mg IV and metoclopramide 10mg IV
O2 if hypoxic (<94%)
Nitrates
Aspirin 300mg PO
Clopidogrel 300mg PO

21
Q

Treatment of NSTEMI

A

GRACE score
Low risk - nil
High risk - consider glycoprotein IIb/IIIa (eptifibatide or tirofiban) and coronary angiography
Fondaparinux or UH

22
Q

Narrow complex tachycardia?

A

1 vagal manouvres

#2 adenosine 6mg IV (12mg, 12mg)

23
Q

Broad complex tachycardia?

A

Regular
Amiodarone 300mg IV over 10-20 mins (then 900 mg over 24 hours)
Irregular (torsades de pointes)
Magnesium sulphate 2g IV

24
Q

Treatment of bradycardia?

A

1 atropine 500mcg IV (repeat to max 3 mg)

#2 transcutaneous pacing

25
Pulmonary oedema treatment?
Oxygen 15L Diamorphine 1.25-5mg IV Furusemide 20-50mg IV GTN
26
Where does testicular cancer spread to?
Lateral aortic The testes (and ovaries in women) drain to the lateral aortic nodes, also known as the para-aortic nodes. These cannot be palpated upon physical examination but can be seen on a computed tomography scan performed for staging. The presence of nodal metastasis is part of the grading of testicular cancer using the Royal Marsden staging system.
27
What is guttate psoriasis?
Occurs after strep URTI infection Salmon pink lesions
28
Which lung cancer is associated with hypercalcaemia?
Squamous cell
29
Subarachnoid haemorrhage tx?
Endovascular coiling
30
Subdural haemorrhage tx?
burr hole drainage
31
Causes of Hyperglycaemia
Steroids, antipsychotics, thiazides, beta blockers, tacrolimus
32
o Beta blockers reversing agent?
Atropine (low HR), glucagon (low BP)
33
Haemodialysis indicated in overdoses of BLAST drugs?
-Barbiturates - Lithium - Alcohol - Salicylates - Theophylline
34