Presentation on theme: "Poisoning Dr Esther Tsang August 2011. Case 1 25 year old Vietnamese lady Unable to communicate due to language barrier. Has vomiting for the past one."— Presentation transcript:
Case 1 25 year old Vietnamese lady Unable to communicate due to language barrier. Has vomiting for the past one day, and became unconscious today. Friend mentions that she found 10 empty strips of paracetamol next to her.
On examination, Somnolent, but arousable Confused Localizes pain Opens eyes to pain What is her GCS?
What are parameters for consideration of a liver transplant in acute liver failure?
Case 2 40 male brought in by brother because he drank termite poison 2 hours ago. Patient was restless and uncooperative. He was tearing and drooling. He refuses to stand up because he claims he is weak.
What is in the termite poison? Who to call if you do not know the type of poisons ingested?
What are the muscarinic and nicotinic effects of termite poisoning?
Why do these symptoms manifest? What physical signs should you look for?
Nurse tells you the vital signs are as follows : BP 80/40 HR 60 SpO2 89% Reflo 4.5 Can you explain the vital signs?
You examine the patient and find that he is very restless, with M4V2E2 SpO2 worsened to 80% BP 70/30 HR39 Then he has a generalized tonic clonic seizure.
What would you do now? How to you secure his breathing and airway? What do you do about his BP and HR?