toxicology 2

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toxicology 2

from 24 July 2019

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A previously healthy 45 yo male, who took 30 x 500mg(15g) non sustained release Paracetamol 16h ago. Which of the following is correct? *

2 points

Start NAC. Do paracetamol level+ ALT at presentation

administer oral charcoal

obtain a salicylate level

A 42 yo male presents with a clonidine overdose of approx 10mg four hours earlier

2 points

hyotension may be a prominant early feature

atropine is indicated to treat associated bradycardia

naloxone may be useful in the treatment of repiratory depression

Clear selection

A 25 yo is brought in to ED 30 min after drinking 100 ml of oil of wintergreen

2 points

Decontamination and charcoal are indicated in this case

Confusion and seizures are not the part of toxidrome

Intubation and controlled ventilation should be initiated early if symptomatic

Clear selection

A 22 yo male attends following a opiate overdose. Which of the following is correct?

2 points

Naloxone as the antidote is the safe option and does not have side effects

2mg of IM Naloxone would last up to 6 hrs

If the patient is unconscious and hypoxic the safest management option is high flow oxygen and left lateral position

If the initial titration with small dose of IV Naloxone in ACS patient is not effective than it is safe to conclude that opiates are not the cause of overdose

Clear selection

In the case of a pateint presenting with an opiate overdose

2 points

When discharging patient home after sedative overdose we should advise them not to drive for 24 hrs.

In the case of suspected opiate OD, large bolus of IV Naloxone is indicated.

Acute pulmonary oedema is recognised SE of the treatment with Naloxone.

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