Poisons

Question 1

what is good for getting a time frame if someone has overdosed

Answer 1

ask them if they have text anyone before they did it

Question 2

how do you reduce absorption of the poison

Answer 2

activated charcoal

bowel irrigation

Question 3

how do you alter the metabolism of the poison

Answer 3

antidotes

Question 4

how can you increase the elimination of the poison

Answer 4

kidneys responsible so can increase via urinary alkalinisation, haemodialysis, haemofiltration

Question 5

treat paracetamol overdose with

Answer 5

n acetylcystein

Question 6

treat tricyclic overdose

Answer 6

sodium bicarb

Question 7

treat beta blocker overdose

Answer 7

glucagon

Question 8

treat ethylene glycol and methanol overdose

Answer 8

ETHANOL AND FOMEPIZOLE

Question 9

treat cyanide poisoning wuth

Answer 9

hydroxycobalamin, sodium nitrate, sodium thiosulphate

Question 10

treat overdose with iron salts

Answer 10

desferrioxamine

Question 11

treat opioid overdose

Answer 11

naloxone

Question 12

treat overdose with organophosphates

Answer 12

atropine, pralidoxime mesylate

Question 13

offer what prior to discharge

Answer 13

liason psych assessment

Question 14

if overdose is accidental or of a child do what

Answer 14

notify the health visitor

Question 15

what organ does paracetamol overdose damage

Answer 15

liver - hepatocyte damage and acute liver necrosis

Question 16

how do you decide whether to treat a paracetamol overdose

Answer 16

bloods checked at 4 hours plotted on graoh if above line treat (if <8 hours at that point)

Question 17

if paracetamol overdose and presented later than 8 hours ahead do what

Answer 17

start treatment and await bloods

Question 18

how long is n acetyl cysteine given over

Answer 18

20 hours

Question 19

what drugs can you check for toxicities in teh blood

Answer 19

paracetamol
salicylates
ethylen glycol
lithium