Week 104 - Self-harm Flashcards Preview

Revision Cards > Week 104 - Self-harm > Flashcards

Flashcards in Week 104 - Self-harm Deck (37):
1

What is the presentation of benzodiazepine overdose?

• Drowsiness / coma
• Ataxia

2

Give some examples of benzodiazepines.

Diazepam, Midalozam, Carbamazepine, chlordiazepoxide.

3

What is the treatment for benzodiazepine overdose?

• Activated charcoal (within 1hr)
• Flumazenil

4

What is the presentation of Tricyclic antidepressant overdose?

• Large pupils
• Coma
• Hypothermia
• Arrhythmias and hypotension

5

Give some examples of Tricyclic antidepressants.

Amitryptiline, Butryptiline, Ritalin

6

What is the treatment for tricyclic antidepressant overdose?

No antidote.

7

What is the presentation of paracetamol overdose?

• >24hrs Anorexia and vomitting
• 3-5 days Abdo pain, abdo bruising, hypo/hyperglycaemia.

8

What is the treatment for paracetamol overdose?

• Activated charcoal (if within 1 hr)
• N-Acetyl Cysteine

9

What is the presentation of opioid overdose?

• Small pupils
• Bradypnoea
• Coma

10

Give some examples of opioids.

Morphine, Codeine, Tramadol

11

What is the treatment for opioid overdose?

Naloxene

12

What is the presentation of Beta-blocker overdose?

Bradycardia

13

What is the treatment for beta-blocker overdose?

Glucagon

14

Week 104 - Self-harm: What is the incidence of suicide in the UK?

15.5/100000 - males
6/100000 - females

15

Week 104 - Self-harm: What is the ratio of suicide between males and females in the UK?

3:1

16

Week 104 - Self-harm: What are the most common forms of suicide in males?

Hanging, oversode, carbon monoxide poisoning.

17

Week 104 - Self-harm: What is the most common form of suicide in females?

Overdose.

18

Week 104 - Self-harm: What are the four theories of social suicide?

• Altruistic
• Fatalistic
• Egotistic
• Anomie

19

Week 104 - Self-harm: What is the altruistic theory of suicide?

Sacrifice for the sake of the group.

20

Week 104 - Self-harm: What is the fatalistic theory of suicide?

Communality control, mass cult suicide.

21

Week 104 - Self-harm: What is the egotistic theory of suicide?

Loss of integration within the community.

22

Week 104 - Self-harm: What is the anomie theory of suicide?

Community in upheaval.

23

Week 104 - Self-harm: What is the rate of self-harm in the UK?

400/100000

24

Week 104 - Self-harm: Which gender has a higher rate of self-harm?

Females

25

Week 104 - Self-harm: Which age-groups are the peak for self harm? (Male/Female)

Female 15-24
Male 25-34

26

Week 104 - Self-harm: Forced emesis is no longer recommended, what substance is used and in which situation is it absolutely contra-indicated?

• Ipecacuahana syrup.
• Absolutely contraindicated for the ingestion of corrosives, volatile hydrocarbons or rapidly acting proconvulsants.

27

Week 104 - Self-harm: A patient presents following overdose with the following symptoms; Coma, hypertonia, hyper-reflexia, myoclonus, tachycardia, Mydriasis. What is the likely poison?

Tri-cyclic anti-depressants.

28

Week 104 - Self-harm: A patient presents with Coma, Miosis (constricted pupils) and a reduced respiratory rate. What is the likely poison?

Opiates

29

Week 104 - Self-harm: A patient presents with nausea, vomitting, tinnitus, deafness, sweating, hyperventilation, vasodilation and metabolic acidosis. What is the likely poison?

Salicylates (Aspirin)

30

Week 104 - Self-harm: A patient presents with coma, hypotonia, hyporeflexia, hypotension and an absent or extensor plantar response. What is the likely poison?

Benzodiazepines.
Barbiturates.

31

Week 104 - Self-harm: A patient presents with hyperthermia, tachycardia, delerium, agitation and mydriasis. What is the likely poison?

MDMA.

32

Week 104 - Self-harm: Plasma levels for which poison should be measured in all unconscious poisoned patients, why?

• Paracetamol
• Symptoms are not apparent, multiple drug ingestion is common, it is important to diagnose paracetamol overdose early when treatment is effective.

33

Week 104 - Self-harm: What is the antidote for paracetamol?

N-acetyl cysteine.

34

Week 104 - Self-harm: What is the antidote for Benzodiazepines?

Flumazenil.

35

Week 104 - Self-harm: What is the antidote for Opiates?

Naloxone.

36

Week 104 - Self-harm: What is the antidote for B-blockers?

Glucagon.

37

Week 104 - Self-harm: What is the antidote for iron?

Desferrioxamine.