Psychiatry

Question 1

Salicylate OD management

Answer 1

Urinary alkalinization with IV bicarb
Haemodialysis if pulmonary oedema and metabolic acidosis present

Question 2

Benzodiazepine OD management

Answer 2

Flumazenil (usually only for severe)

Question 3

Tricyclic antidepressant OD management

Answer 3

IV bicarb may reduce risk of seizures and arrhythmias

Question 4

Lithium OD management

Answer 4

Volume resuscitation with IV saline
Haemodialysis in severe toxicity

Question 5

Warfarin OD management

Answer 5

Vitamin K
Prothrombin complex

Question 6

Heparin OD management

Answer 6

Protamine sulphate

Question 7

Beta blocker OD management

Answer 7

Bradycardic - atropine
Glucagon may be used if resistant

Question 8

Ethylene glycol OD management

Answer 8

Fomepizole first line
Ethanol traditionally used
Haemodialysis in refractory cases

Question 9

Organophosphate insecticides OD management

Answer 9

Atropine

Question 10

Digoxin OD management

Answer 10

Digoxin-specific antibody fragments

Question 11

Iron OD management

Answer 11

Desferrioxamine

Question 12

Lead OD management

Answer 12

Dimercaprol, calcium edetate

Question 13

Carbon monoxide OD management

Answer 13

100% oxygen, hyperbaric oxygen

Question 14

Cyanide OD management

Answer 14

Hydroxocobalamin