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Pt is comatose, had a seizure. BP 80/40 Can you name the drug overdose? - PowerPoint PPT Presentation


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Pt is comatose, had a seizure. BP 80/40 Can you name the drug overdose?. Which Phase(s) was/were affected by the last drug?. This patient took a “downer” last night, today is having this rhythm. If it gets worse, what Rx?. 1) the plant? 2) The rhythm? 3) The treatment(s)?.

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Pt is comatose, had a seizure. BP 80/40

Can you name the drug overdose?


Which Phase(s) was/were

affected by the last drug?


This patient took a “downer” last night, today is

having this rhythm. If it gets worse, what Rx?


1) the plant?

2) The rhythm?

3) The treatment(s)?



Pt is drowsy, has a dry mouth

Anything suspect here?



Another hint…..

Now, name 2 drugs that can cause it.


Which Phase(s) was/were

affected by the last drug?


A

Which was produced

by the last drug?

B


The patient has BP 70/40.

History of hypertension. Rx?




When George made a tea from these seed pods, he

developed hallucinations and had trouble urinating.

What was his heart rate? (Fast or slow)


Harry accidentally drank a mouthful of his rogaine all of the following are true except one
Harry accidentally drank a mouthful of his Rogaine. All of the following are true EXCEPT one:

  • Harry’s HR is probably fast

  • Harry needs to go to the ER

  • Harry needs IV fluids

  • Harry needs a hair transplant

  • Harry’s BP is probably elevated



Child drinks bottle of Visine.

Expected HR =

Expected BP =



Last rhythm just got worse…treatment?

What drug may be contraindicated?



TCAs & Type Ia antiarrhythmics

Block Phase 0 and Phase 3



1) the plant = Foxglove

2) The rhythm = junctional

3) The treatment(s) = atropine, Digibind







A

Early afterdepolarizations (A)

B



Expected BP and HR = elevated

Contains ephedrine & caffeine



When George made a tea from these seed pods, he

developed hallucinations and had trouble urinating.

What was his heart rate? = Fast (anticholinergic)


Harry accidentally drank a mouthful of his rogaine all of the following are true except one1
Harry accidentally drank a mouthful of his Rogaine. All of the following are true EXCEPT one:

  • Harry’s HR is probably fast

  • Harry needs to go to the ER

  • Harry needs IV fluids

  • Harry needs a hair transplant

  • Harry’s BP is probably elevated


HR 38/min, BP 158/105

Rx = vasodilator (eg, Nipride, phentolamine)


Child drinks bottle of Visine.

Expected HR = slow

Expected BP = decreased (poss transient incr)



Last rhythm just got worse…treatment?

What drug may be contraindicated?

If DIGOXIN involved, AVOID Calcium


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