SAQ 509 – Paediatrics – diltiazem overdose with shock

A 4-year-old girl presents after ingesting three 240 mg extended-release diltiazem tablets. She has a heart rate of 40/min, blood pressure of 60/40 mmHg, and responds only to painful stimulus.

Other than cardiovascular and central nervous system effects, state one (1) other physiological system affected and the expected toxic effect.

(Marked out of 2.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Physiological system</th> <th>Toxic effect</th> </tr> </thead> <tbody> <tr> <td>1.</td> <td></td> </tr> </tbody> </table> <p>

/ 2

List two (2) decontamination methods indicated in this case and give one indication for each.

(Marked out of 4.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Method</th> <th>Indication</th> </tr> </thead> <tbody> <tr> <td>1.</td> <td></td> </tr> <tr> <td>2.</td> <td></td> </tr> </tbody> </table> <p>

/ 4

List five (5) key management steps in the first hour and give relevant detail for each.

(Marked out of 10.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Treatment</th> <th>Detail</th> </tr> </thead> <tbody> <tr> <td>1.</td> <td></td> </tr> <tr> <td>2.</td> <td></td> </tr> <tr> <td>3.</td> <td></td> </tr> <tr> <td>4.</td> <td></td> </tr> <tr> <td>5.</td> <td></td> </tr> </tbody> </table> <p>

/ 10

Total Score: 0 / 16

Percentage: 0%