MedBugs: SAQ #610

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Case: Paediatric Bradycardic Overdose

A 3-year-old boy is brought to the Emergency Department approximately 2 hours after being found playing with his grandmother’s medication bottles. He is drowsy but rousable with bradycardia, hypotension and low-normal blood glucose.

1. List 4 classes of medications that could cause this clinical presentation. 4 marks

2. State your immediate management of this child in the first 15 minutes. 6 marks

3. What specific antidote therapy may be indicated and when would you administer it? 4 marks

4. List 4 investigations you would order and justify each. 4 marks

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Case: Paediatric Bradycardic Overdose

1. List 4 classes of medications that could cause this clinical presentation. 4 marks

2. State your immediate management of this child in the first 15 minutes. 6 marks

3. What specific antidote therapy may be indicated and when would you administer it? 4 marks

4. List 4 investigations you would order and justify each. 4 marks

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