Emergencies and Poisoning Flashcards
(28 cards)
First line management in status epilepticus
Rectal diazepam
Most definitive investigation in an aortic dissection
CT scan with contrast
First line treatment in anaphylactic reaction (in adults and children over 12)
0.5mg IM adrenaline
Treatment in suspected PE / DVT
Heparin (LMWH)
Followed by warfarin
Overdose
Pupil dilation, skin flushing, seizures, hypotension
ECG shows tachyarrhythmia and prolonged QRS complexes
TCAs, such as amitryptiline
Overdose
Tinnitus, vertigo, hyperventilation, metabolic acidosis (+/- resp alkalosis)
Aspirin (salicylates)
Which is the most appropriate first-line treatment in aspirin OD?
A. IV sodium bicarbonate
B. Activated charcoal
C. Gastric lavage
B: Activated charcoal
Charcoal and lavage considered within 1 hour of OD
Sodium bicarbonate in moderate poisoning (500-700mg/L) - not given first as it would aggravate existing hypokalaemia (therefore IV fluids given first to correct electrolyte imbalance)
Petechiae, mental state changes, dyspnoea
Fat embolism
Hyperacute T waves are an early ECG change seen in…
Myocardial infarction
Most definitive investigation in patient with suspected subarachnoid haemmorhage
CT scan
Overdose
Tachycardia / bradycardia, yellow halo
Digoxin
Treatment of digoxin overdose
Digibind
Treatment of paracetamol overdose
N-acetyl-cysteine
Overdose
Drowsiness, respiatory depression
Benzodiazepines
Treatment of BDZ overdose
Flumezanil
Overdose
Salivation, lacrimation, urination, diarrhoea
(SLUD)
Organophosphorous insecticides
Treatment of organophosphate overdose
Atropine
Treatment of heparin overdose
Protamine
Treatment of warfarin overdose
Vitamin K
Treatment of beta blocker overdose
Atropine and glucagon
Overdose
Associated with weed killers, alveolar failure
Paraquat
Treatment of paraquat overdose
Charcoal
Treatment of paracetamol overdose of known dose, less than 1 hour ago
Charcoal
Overdose
Cyanosis, confusion, smell of almond on breath
Cyanide
