A 25-year-old male is brought to the emergency department after intentionally ingesting 70 amitriptyline tablets. You administer activated charcoal to the patient. Which other medication, listed as an antidote on the RCEM/NPIS, can be used to treat tricyclic overdose?
A 72-year-old man with a history of COPD complains of a headache, dizziness, and palpitations. He is currently taking modified-release theophylline for his COPD. You suspect theophylline toxicity and schedule a blood test to check his levels.
When should the blood sample be taken after his last oral dose?
A 15 year old male is brought to the emergency department by his parents and admits to taking 32 paracetamol tablets 6 hours ago. Blood tests are conducted, including paracetamol levels. What is the paracetamol level threshold above which the ingestion is deemed ‘significant’?
A 40-year-old male with schizophrenia is brought to the emergency department by the CPN after admitting to ingesting approximately 100 aspirin tablets one hour ago. He is now experiencing tinnitus. When would you initially measure salicylate levels in this patient?
A 45 year old female presents to the emergency department with a 4 day history of persistent vomiting, severe diarrhea, and loss of appetite. The patient reports feeling extremely weak. A peripheral cannula is inserted and blood samples are collected. The initial laboratory results are as follows:
Sodium (Na+): 134 mmol/L
Potassium (K+): 2.4 mmol/L
Urea (Ur): 8.2 mmol/L
Creatinine (Cr): 115 umol/L
Based on these findings, which of the following additional tests should be prioritized and requested?
A 32 year old male is brought into the emergency department by coworkers. The patient was having lunch when he started to experience wheezing and noticed swelling in his lips. He is immediately taken to the resuscitation bay. One of the coworkers mentions that they saw the patient take a pill with his meal. Which of the following medications or medication classes is the primary culprit for inducing anaphylaxis?
A 35-year-old individual arrives at the emergency department, complaining of feeling unwell for the past 48 hours. After obtaining the patient’s medical history, you suspect carbon monoxide poisoning. What is the primary intervention in managing patients with carbon monoxide poisoning?
You are caring for a hypoxic patient in the resuscitation bay. One of the potential diagnoses is methaemoglobinaemia. If the diagnosis of methaemoglobinaemia is confirmed, which of the following treatments would be the most appropriate to administer?
You are suturing a young patient with a significant laceration. While performing the procedure, the patient begins to express discomfort. You observe that the patient seems restless and their muscles are experiencing spasms. You suspect that the patient is displaying symptoms of local anesthetic toxicity. Apart from following standard ALS protocols, what intravenous medication can be administered in case of a cardiac arrest?
A child presents with a severe acute asthma attack. After a poor response to the initial salbutamol nebulizer, you administer another nebulizer that also contains ipratropium bromide.
What is the most common side effect experienced with ipratropium bromide?