Overdose in Adolescence Flashcards Preview

Jason's MD2 Surgery Rotation > Overdose in Adolescence > Flashcards

Flashcards in Overdose in Adolescence Deck (17):
1

aspirin toxic syndrome how?

respiratory alkalosis first
then acidosis

2

Side effects of escitalopram?

Long QT
serotonin syndrome

3

risk of flumazonil?

risk of acute withdrawal: seizures and you can't stop them as flumazonil blocks it.

4

when to give activated charcoal?

paracetomol overdose within 4h

5

why be careful with activated charcoal?

aspiration and altered conscious state dangerous

6

what can precipitate serotonin syndrome?

amphetamines
tramadol

7

serotonin syndrome

increased temp
increased reflexes, clonus lower>upper

8

how to measure QT for long QT?

if it's longer than half of the RR interval

9

tachy or brady better to have long QT?

tachy

10

danger of long QT?

can progress to Torsades de Pointes (>500ms)

11

intubation criteria?

GCS

12

mood vs. affect

mood - pervasive (last few weeks)
affect - objective what you see when you examine

13

components of mental state exam?

appearance
attitude
mood/affect
language
though content
perception
cognition
insight
judgement

14

adolescent taking antidepressants risk?

risk of increased suicidality in first 4 weeks

15

diazepam side effects?

disinhibition
euphoria
dysphoria

16

benzodiazepam withdrawal?

depressed mood
increased anxiety

17

adjuvant tests for assessing overdoses?

pupils - narcotics
paracetomol levels
pH
ETOH
BSLs

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