MedBugs: SAQ #321

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Case: Propranolol overdose

A 24-year-old female presents after ingesting approximately 50 x 20 mg propranolol tablets following an argument with her partner. She was last seen well one hour prior to presentation.

HR 45
BP 90/65
GCS 12

1. List three ECG features consistent with propranolol overdose. 3 marks

The ECG is suggestive of life-threatening toxicity and her vitals are as follows : HR 45 BP 90/65 GCS 12 (E3V4M5)S

2. State six key management steps for this patient. 6 marks

The patient stabilises with your management outlined above.

3. List three potential complications that may develop. 3 marks

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Case: Propranolol overdose

1. List three ECG features consistent with propranolol overdose. 3 marks

2. State six key management steps for this patient. 6 marks

3. List three potential complications that may develop. 3 marks

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