A 25-year-old woman presents to the ED with nausea, vomiting, diarrhea, abdominal pain, and hematemesis after ingesting large quantities of a drug. Which of the following pairs a drug overdose with the correct antidote for this scenario?
AIron; deferoxamine
BOrganophosphate; physostigmine
CAtropine; fomepizole
DAspirin; N-acetylcysteine
EAcetaminophen; naloxone
A 3-year-old girl swallowed a handful of pills after her grandmother dropped the bottle on the ground this afternoon. She presents to the ER in a very drowsy but agitated state. She is clutching her abdomen, as if in pain, her skin is dry and flushed, and she does not know her name or where she is. Her pupils are dilated. Her grandmother reports that she has not urinated in several hours. The grandmother's medical history is significant for allergic rhinitis and osteoarthritis, both of which are treated with over the counter medications. What is the appropriate treatment for this child?
AN-acetylcysteine
BNaloxone
CPhysostigmine
DDeferoxamine
EAtropine
A 6-year-old boy is brought to the emergency department 12 hours after ingesting multiple pills. The patient complains of noise in both his ears for the past 10 hours. The patient’s vital signs are as follows: pulse rate, 136/min; respirations, 39/min; and blood pressure, 108/72 mm Hg. The physical examination reveals diaphoresis. The serum laboratory parameters are as follows: Na+ 136 mEq/L Cl- 99 mEq/L Arterial blood gas analysis under room air indicates the following results: pH 7.39 PaCO2 25 mm HG HCO3- 15 mEq/L Which of the following is the most appropriate first step in the management of this patient?
AHemodialysis
BSupportive care
CGastrointestinal decontamination
DUrine alkalinization
EMultiple-dose activated charcoal
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