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

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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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Presentation Transcript
slide2

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

Can you name the drug overdose?

slide3

Which Phase(s) was/were

affected by the last drug?

slide4

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

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

slide5

1) the plant?

2) The rhythm?

3) The treatment(s)?

slide7

Pt is drowsy, has a dry mouth

Anything suspect here?

slide9

Another hint…..

Now, name 2 drugs that can cause it.

slide10

Which Phase(s) was/were

affected by the last drug?

slide11

A

Which was produced

by the last drug?

B

slide13

The patient has BP 70/40.

History of hypertension. Rx?

slide16

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
slide20

Child drinks bottle of Visine.

Expected HR =

Expected BP =

slide22

Last rhythm just got worse…treatment?

What drug may be contraindicated?

slide25

TCAs & Type Ia antiarrhythmics

Block Phase 0 and Phase 3

slide27

1) the plant = Foxglove

2) The rhythm = junctional

3) The treatment(s) = atropine, Digibind

slide34

A

Early afterdepolarizations (A)

B

slide36

Expected BP and HR = elevated

Contains ephedrine & caffeine

slide38

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
slide40

HR 38/min, BP 158/105

Rx = vasodilator (eg, Nipride, phentolamine)

slide42

Child drinks bottle of Visine.

Expected HR = slow

Expected BP = decreased (poss transient incr)

slide44

Last rhythm just got worse…treatment?

What drug may be contraindicated?

If DIGOXIN involved, AVOID Calcium

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