SAQ 2017 – Retrieval preparation after mixed tablet overdose

You are tasked with retrieving a 42-year-old woman from a rural base hospital to a tertiary centre 400 km away. Estimated flight time is 75 minutes.

Ninety minutes earlier she took a presumed polypharmacy overdose: paracetamol 15 x 500 mg tablets (7.5 g), olanzapine 25 x 10 mg tablets (250 mg), and diazepam 5 x 5 mg tablets (25 mg).

Observations are SpO2 92% on room air, BP 100/60 mmHg, pulse 110/min, RR 22/min and GCS 10 (E2 V4 M4).

State how you would manage her to enable safe transport. Give a justification for each decision.

(Marked out of 8.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Decision</th> <th>Justification</th> </tr> </thead> <tbody> <tr> <td></td> <td></td> </tr> <tr> <td></td> <td></td> </tr> <tr> <td></td> <td></td> </tr> <tr> <td></td> <td></td> </tr> <tr> <td></td> <td></td> </tr> <tr> <td></td> <td></td> </tr> </tbody> </table> <p>

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Complete the table of dose-related clinical effects expected from olanzapine overdose.

(Marked out of 4.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Dose</th> <th>Clinical features</th> </tr> </thead> <tbody> <tr> <td></td> <td></td> </tr> <tr> <td></td> <td></td> </tr> <tr> <td></td> <td></td> </tr> <tr> <td></td> <td></td> </tr> </tbody> </table> <p>

/ 4

Total Score: 0 / 12

Percentage: 0%