Author: Amina Husaini Ibrahim / Editor: Nick Tilbury / Codes: PhC1, SLO3 / Published: 23/06/2022
A 20-year-old student is brought to the emergency department (ED) accompanied by her flat mate after she was found barely conscious close to a bottle of her medication that was empty. At presentation she is extremely agitated and is asking for a glass of water saying her mouth is dry.
On Examination she is found to be febrile and, tachycardic with HR of 135bpm, RR of 24 cycles/min and a BP of 90/60mmHg. Sp02 is 97% on room air.
An ECG is done at presentation and is shown below.

Exam Summary
0 of 3 Questions completed
Questions:
Information
You have already completed the exam before. Hence you can not start it again.
Exam is loading...
You must sign in or sign up to start the exam.
You must first complete the following:
Results
Results
Time has elapsed
Categories
- Not categorized 0%
- 1
- 2
- 3
- Current
- Review
- Answered
- Correct
- Incorrect
-
Question 1 of 3
1. Question
The ECG changes seen are most likely as a result of blockade of
CorrectIncorrect -
Question 2 of 3
2. Question
On further history you discover that the patient had taken about 20 tablets of her medication approximately 5 hours ago.
Which of following medication is she likely to have taken?
CorrectIncorrect -
Question 3 of 3
3. Question
A blood gas done in this patient shows a metabolic acidosis. What is the most appropriate next line of management in the treatment?
CorrectIncorrect
Module Content
Related Posts
Arterial Blood Gas Analysis
This session is about the evaluation of arterial blood gases in the emergency department.
Toxicology
You've just arrived for your first ED shift, excited to be allocated to resus. The red phone rings. A 45-year-old female, amitriptyline overdose, P120, BP85/45, GCS 5, ETA 5 minutes.
Paediatric Toxicology Considerations
This module explores the presentations of children to the ED by concerned parents after a potential ingestion of a substance is common.