Substance abuse

Question 1

When should serum paracetamol levels be measures in a patient with paracetamol overdose?

Answer 1

4 hours after ingestion

Question 2

What are the KCL criteria for acute liver transplantation in paracetamol overdose?

Answer 2

Arterial pH < 7.3, 24 hours after ingestion

or all of the following:
prothrombin time > 100 seconds
creatinine > 300 µmol/l
grade III or IV encephalopathy

Question 3

What is considered a staggered paracetamol overdose?

Answer 3

If all the tablets were not taken within a 1 hour period

all staggered ODs should receive NAC

Question 4

What is the antidote for opiate overdose?

Answer 4

Naloxone

Question 5

What is the antidote for amitriptyline overdose?

Answer 5

Sodium bicarbonate

Question 6

What is the antidote for beta-blocker overdose?

Answer 6

Glucagon

Question 7

What is the antidote for benzodiazepine overdose?

Answer 7

Flumazenil

Question 8

What is the antidote for local anaesthetic (e.g. bupivicaine) toxicity?

Answer 8

Intralipid

Question 9

What score on the AUDIT questionnaire indicates possibly hazardous and harmful alcohol use?

Answer 9

8+
A score of 15+ indicates specialist input is needed
(total score is out of 40)