Week 104 Suicide/Self Harm Flashcards
A patient presents with coma, hypertonia, hyperreflexia and extensor plantar responses, myoclonus, mydriasis and sinus tachycardia. It is likely that they have overdosed on ______ or _________.
TCA’s
Antihistamines
A patient presents with miosis, and bradyopnea, before slipping into a coma. It is likely they have overdosed on ______.
Opiates.
A patient presents with nausea and vomiting, tinnitus, deafness, sweating, hyperventilation, vasodilation, and the ABG you’ve just conducted shows metabolic acidosis. It is likely they have overdosed on _____.
Salicylates (i.e. aspirin)
A patient presents with hypotonia, hyporeflexia, and hypotension. Plantar response: extensor or absent. It is likely they have overdosed on _______.
Benzodiazepines +/- alcohol (date rape)
Barbiturates
Severe TCAs
A patient arrives hyperthermic, tachycardic, seems agitated and has mydriasis. They have most likely overdosed on _____.
MDMA. (lads lads lads).
Antidote for paracetemol?
N-acetyl cysteine
What’s the antidote for an overdose of benzodiazepenes?
Flumazenil
What’s the antidote for opiates?
Naloxone
Whats the best antidote to an overdose of beta blockers?
Glucagon
What’s the best antidote for an iron overdose?
Desferrioxamine
What’s the best antidote for methanol poisoning?
Ethanol
What is the best antidote for cyanide poisoning?
100% oxygen, if does not recover and becomes unconscious, give dicobalted edotate.
If dicobalted edotate does not work, which antidote can you use for cyanide poisoning.
Hydroxocobalamine, or nitrates/sodium thiosulphate.
IF A PERSONS SUICIDAL IDEATION IS MOTIVATED BY UNCONSCIOUS INTENTIONS, AND ITS ROOT CAUSE IS REJECTION - A DESIRE FOR SELF PUNISHMENT - THEN THE PERSPECTIVE IS LIKELY TO BE _______.
PYSCHOANALYTICAL (FREUD)
OVERDOSE OF WHICH DRUG CAN CAUSE TINNITUS?
ASPIRIN
