Symptoms of opioid withdrawal include dysphoric mood, yawning, insomnia, muscle aches, lacrimation / rhinorrhoea, papillary dilatation, piloerection, fever, sweating, nausea / vomiting, diarrhoea.
If the patient is having an opioid withdrawal reaction, then give 10 mg of methadone syrup and wait about 60 min to determine its effect.
Showing posts with label poisoning. Show all posts
Showing posts with label poisoning. Show all posts
Carbon monoxide poisoning
Carbon monoxide poisoning results in the death of about 50 people in the UK each year. It is produced by the incomplete combustion of carbon containing fuel: gas, coal, oil, wood and coke. Inadequate maintenance leading to poor combustion of fuel and inadequate removal of waste products as a result of blocked chimney are the main causes of poisoning.
Headache is the most common symptom (90%) followed by nausea & vomitting (50%), vertigo (50%), alteration in consciousness (30%) and weakness (20%).
The cherry red skin colour occurs when COHb concentration exceeds 20% but it is rarely seen in life.
Pulse oximetry gives false high oxygen saturation and it is not recommended.
CO levels can be measured in expired air and this must be done soon after the exposure.
Reference
Headache is the most common symptom (90%) followed by nausea & vomitting (50%), vertigo (50%), alteration in consciousness (30%) and weakness (20%).
The cherry red skin colour occurs when COHb concentration exceeds 20% but it is rarely seen in life.
Pulse oximetry gives false high oxygen saturation and it is not recommended.
CO levels can be measured in expired air and this must be done soon after the exposure.
Reference
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