A 14-year-old girl has presented after an intentional overdose of insulin.

1. List (4) key features of your history that will influence your toxicological risk assessment of her presentation. Provide justification for each. 4 marks

β˜… β˜… β˜… β˜… β˜…

2. List (3) other biochemical complications of insulin overdose. 3 marks

β˜… β˜… β˜… β˜… β˜…

History has revealed that the patient is not diabetic. The insulin belongs to her mother.

3. State how the patient’s nondiabetic status impacts the downstream management of her overdose, in comparison with managing an insulin overdose in a diabetic patient. 1 mark

β˜… β˜… β˜… β˜… β˜…

4. State (3) key considerations in determining whether to permit the mother into her daughter’s treatment bay. 3 marks

β˜… β˜… β˜… β˜… β˜