SAQ 465 – Toxicology – anticholinergic delirium after promethazine overdose

A 16-year-old boy presents with confusion, agitation and blurred vision. His mother is concerned that he has taken an overdose of promethazine. Shortly after arrival he becomes more restless, appears to hallucinate and tries to climb out of bed.

What is the most likely diagnosis?

(Marked out of 1.0)

/ 1

List four (4) other precipitants of this syndrome.

(Marked out of 4.0)

/ 4

List three (3) additional clinical signs you would assess for.

(Marked out of 3.0)

/ 3

Outline four (4) key treatment steps, including two (2) medication options with doses for sedation.

(Marked out of 8.0)

/ 8

Total Score: 0 / 16

Percentage: 0%