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Recreational drug use and overdose
www.rch.org.au/clinicalguide/guideline_index/Recreational_drug_use_and_overdose/
, disinhibition progressing to CNS depression, anxiety & psychotic symptoms, postural hypotension & tachycardia N …, liquid E CNS & respiratory depression progressing to coma Bradycardia & myoclonic jerks N/A Resuscitation … followed by CNS depression Acute medical complications: - sustained 'high', encephalopathy & seizures …
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Benzodiazepine poisoning
www.rch.org.au/clinicalguide/guideline_index/Benzodiazepine_poisoning/
induce a mild to moderate central nervous system depression; deep coma requiring assisted ventilation … paracetamol Examination CNS depression Neurologic – confusion, dysarthria, nystagmus, lethargy, ataxia …, areflexia, hypotonia, seizure Respiratory – depression Cardiovascular – hypotension Metabolic – hypothermia …
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Chloral hydrate poisoning
www.rch.org.au/clinicalguide/guideline_index/Chloral_hydrate_poisoning/
procedures. Toxicity is rapid onset (<30 min) with CNS depression and cardiac dysrhythmias. It can … depression: drowsiness and ataxia progressing rapidly to coma Respiratory depression Hypotension Hypothermia … and supportive care Early intubation if progressive CNS depression or CVS toxicity. Dysrhythmias Beta …
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Hydrocarbon poisoning
www.rch.org.au/clinicalguide/guideline_index/Hydrocarbon_poisoning/
including CNS depression and seizures. Volatile hydrocarbons can be aspirated and cause chemical pneumonitis …. Cardiovascular Dysrhythmias occur early in exposure CNS CNS depression, coma and seizures may occur with large … Intubate early for progressive CNS depression Ventricular dysrhythmias: Commence advance life support …
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Phenobarbitone poisoning
www.rch.org.au/clinicalguide/guideline_index/Phenobarbitone_poisoning/
to depression of the central nervous system and effect on the cardiovascular system. Onset of clinical features … to phenobarbitone ingestion are mainly due to central nervous system depression and effect on the cardiovascular … eg paracetamol Examination CNS Lethargy, slurred speech, ataxia, respiratory depression, coma. Large …
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Unsettled or crying babies
www.rch.org.au/clinicalguide/guideline_index/Crying_Baby_Infant_Distress/
baby syndrome) See Child abuse Parental post-natal depression (PND) and social isolation Screen for PND … using the Edinburgh Postnatal Depression Scale . See Additional Notes for other languages Concern … reassurance and education are essential. If screening for postnatal depression raises significant concerns …
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High risk - low dose paediatric ingestions
www.rch.org.au/clinicalguide/guideline_index/High_risk_-_low_dose_paediatric_ingestions/
toxic) Coma Respiratory depression Propranolol and sotolol (other beta blockers are better tolerated … Hyponatraemia with ecstasy Gamma-hydroxybutyrate (GHB) Rapid onset respiratory depression and coma with recovery …, call the Paediatric Infant Perinatal Emergency Retrieval (PIPER) Service: 1300 137 650. The Royal …
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Antihistamine poisoning
www.rch.org.au/clinicalguide/guideline_index/Antihistamine_poisoning/
the maximum possible dose per kg Co-ingestants eg paracetamol Examination: CNS depression or confusion … measures for respiratory depression or depressed conscious state Decontamination - Consider activated … Perinatal Emergency Retrieval (PIPER) Service: 1300 137 650. Discharge Criteria If features of poisoning …
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Tricyclic Antidepressant (TCA) Poisoning
www.rch.org.au/clinicalguide/guideline_index/Tricyclic_Antidepressant_(TCA)_Poisoning/
arrhythmias and reduced cardiac contractility and neurological instability including CNS depression … reuptake: CNS depression/coma, seizures Anticholinergic: Sinus tachycardia, Vomiting, Blurred vision … or neurological disease those with co-ingestion of cardio depressant medications or MAO inhibitors. Patients …
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Camphor poisoning
www.rch.org.au/clinicalguide/guideline_index/Camphor_poisoning/
accidental ingestion Any symptomatic patient Gastrointestinal irritation and CNS depression may occur …, delirium, hallucinations, and restlessness Respiratory depression is common, often following seizure GIT … There are seizures There is decreased conscious state or respiratory depression Consult Contact Victorian Poisons …