MedBugs: SAQ #153

Case: Venlafaxine ingestion

A 25-year-old man with a history of depression and anxiety is BIBA, 3 hours after taking a deliberate overdose of 4g Efexor XL. He is alert with following vitals : HR 90 BP 120/80 RR 20 Sats 98%RA T 36.8

1. What is your risk assessment? (1 mark) 0 marks

2. What is the role of decontamination for this presenta on? (1 mark) 0 marks

3. List (5) Hunter Serotonin Syndrome Criteria you would seek on examination. 5 marks

4. Outline (3) features which would distinguish Neuroleptic Malignant Syndrome from 3 marks

The patient somehow absconds from your department and is brought back several hours later having been found unconscious by his partner at home. He is now manifesting features of severe Serotonin Syndrome.

5. Give (3) potential life threats for this poisoning and the appropriate resuscitative interventions for each. 6 marks

6. State (2) agents that can be used in the specific management of mild-moderate Serotonin Syndrome 2 marks

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