Presentations Flashcards
What is the management of paracetamol overdose?
- Activated charcol if <1 hour ago
- N-acetylcysteine
- liver transplant
What is the management of an opioid overdose?
Naloxone
What is the managment of a tricyclic antidepressant overdose?
- IV bicarbonate
What is the managment of a lithium overdose?
- normal saline fluid resus
- haemodialysis if severe
What is the management of a warfarin overdose?
- vitamin K
- prothrombin complex
What is the management of a heparin overdose?
Protamine sulphate
What is the management of lead toxicity?
- Dimercaprol
- calcium edetate
What is the management of carbon monoxide poisoning?
- 100% oxygen
- hyperbaric oxygen
What are the features of a salicylate overdose?
- hyperventilation
- tinnitus
- lethargy
- sweating, pyrexia
- nausea/vomiting
- hyper and hypo glycaemia
- seizure
- coma
What is the presentation of anaphylaxis?
- swelling of the throat and tongue causing hoarse voice and stridor
- respiratory wheeze
- dyspnoea
- hypotension
- tachycardia
- pruritis, widespread erythematous or urticarial rash
MAnagement of anaphylaxis in under 6 months
Adrenaline 100-150 micrograms (1 in 1000)
Management of anaphylaxis in 6 month to 6 year olds
150 micrograms (0.15ml of 1 in 1000)
Management of anaphylaxis in 6-12 year olds
300 micrograms (0.3ml 1 in 1000)
Management of anaphylaxis in >12
500 micrograms (0.5ml 1in 1000)
Where is the best site for IM adrenaline injection?
Anterolateral aspect of the middle third of the thigh
What is refractory anaphylaxis?
- respiratory and/or cardiovascular problems persist despite 2 doses of IM adrenaline
What are the causes of syncope?
Reflex:
- vasovagal: emotion, pain, stress
- situational
- carotid sinus syncope
Orthostatic
- Primary: parkinsons, lewy body dementia
- Secondary: diabetic neuropathy, amyloidosis, uraemia
- drug induced
- volume depletion: diarrhoea, haemorrhage
Cardiac:
- arrhythmia
- structural
- PE
What are the primary autonomic failure causes of syncope?
- Parkinsons
- Lewy body dementia