suicide management - abrahem

[ArchivalUser]

A 36-year-old woman is brought to the emergency department because a friend found her unresponsive on the floor at home. Her friend relates a recent history of depression. An empty prescription bottle for 30 100-mg amitriptyline tables was found nearby. The woman's amitriptyline level is 2,300 ng/mL. The physician's first step would be to
(A) prepare involuntary commitment documents
(B) order an immediate electroencephalogram
© insert a nasogastric tube
(D) administer physostigmine
(E) order a respirator

[ArchivalUser]

C.

[ArchivalUser]

B order immediate ECG

[ArchivalUser]

B)

the 3Cs with amitryptline toxicity
Coma,Convulsions,Cardiotocxicity

[ArchivalUser]

C. To get out the residual drug will reduce the further damage. This is a NMS Q.

[ArchivalUser]

will go with..... C
as a first step in managment

[ArchivalUser]

a is incorrect we dont do it immediately
b, its inconclusive
d is used in case of overdose in myasthenia gravis
e uless the patient is in respiratory depression
c is correct

[ArchivalUser]

Ans is C. Any case that is brought into the ER will nonetheless be initiated with maintenance of A (airway), B (Breathing), C (circulation).
Def agree with csf, & rmckev