Surgery

Question 0

Benzodiazepine overdose

Answer 0

1. Drowsiness, ataxia, dysarthria
2. Flumazenil… Hazardous in overdose patients, especially if tricyclics are involved. Too rapid reversal of BDZ withdrawal causes CONVULSIONS and CVA

Question 1

Management of Acute Pancreatitis

Answer 1

Morphine (tramadol better academically...but not really)
Iv. Fluid resuscitation
Close cardiovascular monitoring
NG tube (to prevent vomit aspiration)
ANTIBIOTICS
Minimise oral intake

90% people improve over the first 48hours