NAPLEX Practice Question # 110

NAPLEX Examination.

Practice Question # 110.


Naplex

TOXICITY GENERAL MANAGEMENT

  • Supportive care and ABCs. Evaluating and supporting the vital functions (airway, breathing, and circulation [ABCs]) are the mandatory first steps in the initial management of drug ingestions. After the patient is stabilized, the specific issue(s) of poison management should be addressed.1
  • Treatment for patients with depressed mental status includes the following: 1. To rule out or treat hypoglycemia, 50 mL of 50% dextrose in adults and 1 mL/kg in children intravenously (IV)
  • Thiamine 100 mg IV push (glucose can precipitate the Wernicke-Korsakoff syndrome in thiamine deficient patients)
  • Naloxone (Narcan) 0.4 to 2 mg IV push, if opiate ingestion is suspected. Naloxone may also be administered by the following routes: inhalation, intramuscular, and intranasal.

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