OVERDOSAGEOVERDOSAGE

RECOGNITION.RECOGNITION.

HIGH INDEX OF SUSPICION.HIGH INDEX OF SUSPICION.CARFUL CLINICAL EVALUATION.CARFUL CLINICAL EVALUATION.INFORMATION FROM FAMILY OR FRIENDS.INFORMATION FROM FAMILY OR FRIENDS.OBTAIN SUPPORTING MATERIALS.OBTAIN SUPPORTING MATERIALS.SPECIFIC TOXIC SYNDROMES.SPECIFIC TOXIC SYNDROMES.VITAL SIGNS, NEUROLOGIC VITAL SIGNS, NEUROLOGIC STATUS,PUPILLARY STATUS,PUPILLARY REACTIONS ,ABDOMINAL FINDINGS AND REACTIONS ,ABDOMINAL FINDINGS AND UNUSUAL ODORS AND EXCRETAUNUSUAL ODORS AND EXCRETAABG, ELECTROLYTES AND ACID-BASE .ABG, ELECTROLYTES AND ACID-BASE .SCREENING ,BLOOD AND URIN –XRAY-ECG.SCREENING ,BLOOD AND URIN –XRAY-ECG.

SUPPORTIVE CARE.SUPPORTIVE CARE.MAINTAIN A PATENT AIRWAY.MAINTAIN A PATENT AIRWAY.MAINTAIN BLOOD PRESSURE .MAINTAIN BLOOD PRESSURE .ARRHYTHMIAS.ARRHYTHMIAS.CNS DEPRESSION –NALOXONE-CNS DEPRESSION –NALOXONE-50%DEXTROSE-THAIMINE. 50%DEXTROSE-THAIMINE.

PREVENTION OF PREVENTION OF ABSORRPTION.ABSORRPTION.

ACTIVATED CHARCOAL.ACTIVATED CHARCOAL.GASTRIC EMPTYING.GASTRIC EMPTYING.

ACTIVATED CHARCOALACTIVATED CHARCOAL..

ADSORBS MOST DRUGS,PREVENTING ADSORBS MOST DRUGS,PREVENTING FURTHER ABSORBTION FROM GI.FURTHER ABSORBTION FROM GI.

EXCEPTIONS INCLUDE EXCEPTIONS INCLUDE ALKALIS,ARSENIC,CYANIDE,ETHANOL,LITHALKALIS,ARSENIC,CYANIDE,ETHANOL,LITHIUM, AND MINERAL ACIDS.IUM, AND MINERAL ACIDS.

50-100 G INITIALY THEN 12.5 G/H UNTIL 50-100 G INITIALY THEN 12.5 G/H UNTIL THE PATIENT CONDITION AND THE PATIENT CONDITION AND LABORATORY PARAMETERS IMPROVE.LABORATORY PARAMETERS IMPROVE.

GASTRIC EMPTYINGGASTRIC EMPTYING.. AIRWAY MUST BE PROTECTED.AIRWAY MUST BE PROTECTED. IPECAC.IPECAC. GASTRIC LAVAGE.GASTRIC LAVAGE. WHOLE-BOWEL IRRIGATIONWHOLE-BOWEL IRRIGATION

REMOVAL OF ABSORBED REMOVAL OF ABSORBED DRUGSDRUGS

FORCED ALKALINE DIURESIS ACHIEVING A FORCED ALKALINE DIURESIS ACHIEVING A URRINARY PH 7-9, PROMOTES EXCRETION URRINARY PH 7-9, PROMOTES EXCRETION OF DRUGS THAT ARE WEAK ACID OF DRUGS THAT ARE WEAK ACID SODIUM BICARBONATE 44-100 MEQ IN 1 SODIUM BICARBONATE 44-100 MEQ IN 1 LITTER OF 0.45 SALINE AT 250-500/H LITTER OF 0.45 SALINE AT 250-500/H EXTRACORPOREAL REMOVAL OF TOXIN BY EXTRACORPOREAL REMOVAL OF TOXIN BY DIALYSIS OR HEMOPERFUSION.DIALYSIS OR HEMOPERFUSION.

SPECIFIC ANTIDOTESSPECIFIC ANTIDOTES

DISPOSITIONDISPOSITION

OBSERVE FOR AT LEAST 4 H.OBSERVE FOR AT LEAST 4 H. PSYCHATRIC COSULTATION.PSYCHATRIC COSULTATION.