Opioid Toxicity causes: Drowsiness Respiratory Depression – Hypo-ventilation and decreased respiratory rate Pupillary Miosis Other Symptoms may include (but are not diagnostic or opioid toxicity): Nausea and vomiting Neuropsychiatric features including nightmares, anxiety, agitation, euphoria, dysphoria, depression, paranoia and hallucinations Urticaria and pruritis Convulsions Hypotension and bradycardia Hypothermia secondary to environmental exposure Naloxone is the …
Search for reversal - 6 results found
Minimal and Moderate Paediatric Sedation
The depth and type of sedation required in children depends on the procedure to be carried out. Sedation is described as: Minimal – Drug induced calm, the patient is awake and responds to verbal commands but may have impairment of cognition and coordination. Moderate – Drug induced depression of consciousness but patients respond purposefully to …
Dabigatran Reversal
Bleeding on Dabigatran? <C>ABCD – as usual trying to stop bleed Bloods: FBC, Clotting, U&E, G&S Discuss with Haematologist (esp. if taken within 12-24hr) Idarucizumab (PRAXBIND) 5g IV Found in Emergency Drug cupboard We experienced delay finding as spelt wrong in the catalogue!
Octaplex – work fast its an EMERGENCY!
Activate EARLY in head injury patients on warfarin. Order on EPR & Paper [see below] Infuse over no more than 30 min Recheck INR at 30 min after finished infusion Indications EMERGENCY reversal of Warfain Factor II or X deficiency
Primary Intracerebral Haemorrhage
In anybody who there is suspicion of a non-traumatic haemorrhage arrange an urgent CT Head. All patients need IV access and U&E, FBC, Coag If CT confirms PICH (not traumatic, not SAH): – Anticoagulation If anticoagulated with warfarin or NOAC discuss with stroke consultant and Haematologist regarding reversal If not anticoagulated give Tranexamic acid – …
Silver Trauma
The population is ageing and thus our ‘typical’ trauma patient is also changing. In 2017 the TARN report “Major injury in older people” highlighted the following issues: The typical major trauma patient: has changed from a young and male to being an older patient. Older Major Trauma Patients (ISS>15): A fall of <2m is the …
