A 35-year-old woman comes in with a worsening of her asthma symptoms. She has been experiencing heart palpitations and decided to self-medicate with one of her sister’s heart medications. Shortly after taking the medication, her asthma symptoms worsened.
Which of the following medications is most likely to have caused her asthma exacerbation?
A 25-year-old woman is brought to the Emergency Department ‘resus’ area by ambulance after collapsing from heroin use. She has pinpoint pupils, a respiratory rate of 5 per minute, and a GCS of 6/15. As part of her treatment, you administer naloxone.
Which SINGLE statement about the use of naloxone is true?
You are informed that a 45-year-old individual is en route to the emergency department after inhaling an unidentified gas that was intentionally released on a commuter train. Authorities suspect a potential terrorist attack and recommend checking the patient for signs of organophosphate poisoning. What clinical feature would be anticipated in a case of organophosphate poisoning?
You are managing a 35-year-old male who has ingested an excessive amount of medication. You intend to administer N-acetylcysteine (NAC). The patient inquires about the likelihood of experiencing any side effects. What proportion of patients experience adverse reactions to NAC?
A 45-year-old man is brought into the Emergency Department by his wife after taking an overdose of paracetamol. The patient states that he “wants to end it all” and refuses to stay in hospital and receive treatment. His wife insists that he must be treated because “he is not thinking clearly”.
Which blood test is the earliest and most sensitive indicator of liver damage in paracetamol overdose?
A 42 year old male is brought into the emergency department by ambulance after confessing to taking a significant overdose of amitriptyline following a recent breakup. The patient later experiences a seizure. Which of the following anticonvulsant medications should not be used in TCA overdose?
A 25-year-old woman is brought to the Emergency Department ‘resus’ area by ambulance after collapsing due to heroin use. She has pinpoint pupils, a respiratory rate of 5 per minute, and a GCS of 6/15.
What drug treatment should she be given?
A 35 year old male is brought into the emergency department by his coworkers after they checked on him and found him crying with empty paracetamol packets beside him. The patient reveals taking approximately 50 paracetamol tablets in an attempt to commit suicide 45 minutes ago.
When should paracetamol levels be taken?
A 45 year old male is brought into the emergency department after being attacked by a snake while hiking in the mountains. The patient arrives in the emergency department appearing pale and sickly about 15 minutes after the attack and experiences vomiting during the initial assessment. You suspect the presence of systemic envenomation. What is the recommended minimum period of monitoring for individuals with suspected snake bite envenoming?
A 45-year-old man is brought into the Emergency Department by his wife after taking an overdose of paracetamol. The patient claims that he wants to end it all and refuses to stay in the hospital for treatment. His wife insists that he must be treated because he is not thinking clearly.
Which medication is the primary treatment for paracetamol overdose in an inpatient setting?