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Emergency measures during a poisoning.

“Dum spiro spero” may be a simple aphorism, but it sets a high bar for the treatment of the poisoned patient, as any deficit in the patient’s oxygenation can impair

Complications in bipolar disorder

From the clinical point of view, it should be mentioned that sometimes bipolar disorder may be accompanied by some pre-existing conditions that may aggravate an already quite serious condition, with more intense symptoms, for which the applied therapy may yield results of lesser effectiveness. But which ones are the most present?

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Digestive endoscopy with fiberoptic instruments is also considered a routine technique in the pediatric age group. The examination often needs to be performed urgently, within 24 to 48 hours of

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To perform gastric lavage, it is important to keep a few points in mind: Be sure that you have ingested a dangerous dose of a toxic substance That the ingestion

Methods of poisoning: cardioactive glucosides

pill-1884775_1280

Overdose of these drugs is chronic and is almost always due to careless treatment. The reactions can be seen as an exaggerated expression of their pharmacological properties. Once toxic levels are reached, the subject experiences mental confusion, vomiting, diarrhea and visual disturbances. Subsequently, bradycardia and overlapping arrhythmias occur, which may result in tachyarrhythmias.

Diagnosis and treatment

History and clinical signs are sufficient to make the diagnosis, but at least for digoxin it must be with measurement of plasma levels. Within 18 to 20 hours after acute ingestion, the stomach should be emptied by inducing vomiting, immediately after which a dose of activated charcoal (100gr for an adult, 25 for a child) can be given. IV potassium can be administered for hypokalemia. For individuals with heart disease and those showing atrioventricular blockade, an intravenous pacemaker may be necessary.

Source: Vadecum of poisoning therapy by Roy Goulding

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