A 36 year old woman presents to the emergency department stating that she took too many pills as a suicide attempt. Now she is scared to die and also don't know what pills they were as she found it in her grand mother's house and just took them. How would you manage this patient.
Management of Drug Overdose:
1. Establish an IV access.
2. Check the patient's vitals.
3. If the vitals are stable and patient is conscious keep the patient in a quiet room with continuous monitoring and let a close relative or friend be with the patient for reassurance.
4. If the vital signs are not stable and patient shows signs of mental status changes, appropriate measures should be taken to stabilize the vital signs.
5. Overdose with stimulant drugs can lead to tachycardia, cardiac arrhythmia, elevated blood pressure and seizures.
6. Use intravenous fluids, intravenous benzodiazepiens to control the seizures and cooling blankets for hyperthermia.
7. Elevated blood pressure can be controlled by intravenous nitroprusside.
8. High doses of opioids can lead to life threatening decrease in respiratory rate, heart rate and blood pressure.
9. Flumazenil is used as an antagonist for benzodiazepine overdose.
10 Provide general supportive measures in all cases of overdose.
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