YGC ED teaching 24/9/20 - Poisoning by Gareth Thomas https://padlet.com/garethemlyn/jimnlbahwojhezc en-us 2020-09-23 16:46:01 UTC 2024-10-26 02:59:57 UTC hello@padlet.com Summary garethemlyn https://padlet.com/garethemlyn/jimnlbahwojhezc/wish/772930998 26 year old male
BIBA

PMHx 
Anxiety/depression
ADHD
Previous ODs
NKDA

Called friend whilst drunk claiming to have taken overdose through the evening
Drinking all day plus cocaine
Took medication present in house
Vomited x3

Med s include:
Fluoxetine
Co-codamol 30/500
Aspirin
Diazepam

O/E
Agitated/intoxicated

HR 118, BP 110/76
RR 26, SpO2 100% air
Temp 37.8
Glucose 8.4
GCS 12/15 (E3, V4, M5)

Time in ambulance 1 hour 40 min

]]> 2020-09-23 16:49:06 UTC https://padlet.com/garethemlyn/jimnlbahwojhezc/wish/772930998 Sample taken: 01:00 hrs garethemlyn https://padlet.com/garethemlyn/jimnlbahwojhezc/wish/773163436 Venous blood gas

pH          7.48
pCO2     3.70        kPa
pO2       14.1        kPa
BE         -3.8         mmol/L
HCO3-    22           mmol/L
Lac         3.87       mmol/L

 WCC 13.2
 Hb 146
 Plt 239
 Neut 9.2
 Lymph 2.1

 Na 145
 K 3.6
 Urea 7.8
 Create 89
 Cl 104

 ALT 14
 AlkP 87
 Alb 32
 Bili 7
 CK 460

 Para 62 mg/L
 Salicylate 279 mg/L

 INR 1.0
 CRP 32
]]> 2020-09-23 17:39:55 UTC https://padlet.com/garethemlyn/jimnlbahwojhezc/wish/773163436 garethemlyn https://padlet.com/garethemlyn/jimnlbahwojhezc/wish/773212172 2020-09-23 17:51:01 UTC https://padlet.com/garethemlyn/jimnlbahwojhezc/wish/773212172 garethemlyn https://padlet.com/garethemlyn/jimnlbahwojhezc/wish/773213893 2020-09-23 17:51:24 UTC https://padlet.com/garethemlyn/jimnlbahwojhezc/wish/773213893 garethemlyn https://padlet.com/garethemlyn/jimnlbahwojhezc/wish/773215339 2020-09-23 17:51:45 UTC https://padlet.com/garethemlyn/jimnlbahwojhezc/wish/773215339 garethemlyn https://padlet.com/garethemlyn/jimnlbahwojhezc/wish/773216733 2020-09-23 17:52:05 UTC https://padlet.com/garethemlyn/jimnlbahwojhezc/wish/773216733 garethemlyn https://padlet.com/garethemlyn/jimnlbahwojhezc/wish/773218559 2020-09-23 17:52:31 UTC https://padlet.com/garethemlyn/jimnlbahwojhezc/wish/773218559 02:00 hours garethemlyn https://padlet.com/garethemlyn/jimnlbahwojhezc/wish/773254367 A)

B) RR 26, SpO2 100% RA

C) HR 114, BP 123/75

D) Gluc 7.6

E) Temp 37.6]]> 2020-09-23 18:00:24 UTC https://padlet.com/garethemlyn/jimnlbahwojhezc/wish/773254367 Initial garethemlyn https://padlet.com/garethemlyn/jimnlbahwojhezc/wish/773267684 1x 20g IV cannula right ACF
1000ml 0.9% Saline ongoing]]> 2020-09-23 18:03:16 UTC https://padlet.com/garethemlyn/jimnlbahwojhezc/wish/773267684 garethemlyn https://padlet.com/garethemlyn/jimnlbahwojhezc/wish/775160880 pH 7.29
pCO2 2.8
BE - 2.8
HCO3 16
Lac 5.1

Glucose 9.2

K 2.9

Moved to resus
Salyc 542

]]> 2020-09-24 09:46:48 UTC https://padlet.com/garethemlyn/jimnlbahwojhezc/wish/775160880