A 12-year-old boy is brought to the emergency in an unconscious state with a history of shallow breathing and increasing drowsiness noticed for two hours. He is noticed to have a dry mouth, cold extremities, is limp and has pin point pupils. The emergency physician suspects poisoning. Which one of the following antidotes should be administered?
Naloxone
Pinpoint pupils, respiratory depression (shallow breathing), CNS depression (drowsiness progressing to unconsciousness), and limp/hypotonic state constitute the classic opioid toxidrome. Naloxone is the specific opioid receptor antagonist antidote used to reverse these effects.
Important Questions from Childhood Injuries and Poisoning
- Consider the following pairs :How many of the pairs given above are correctly matched ?
Urine colour Possible causative agent in a child with suspected poisoning 1. Pink - Cephalosporin 2. Brown - Chloroquine 3. Greenish blue - Phenazopyridine 4. Red-orange - Amitriptyline - A child presents to the emergency following ingestion of around 20 mL of kerosene oil about 40 minutes back. The child appears stable. Which one of the following measures should be done for the management of the child?
- In case of a child with an acute poisoning by ingestion, activated charcoal may be used in which one of the following situations?
- After sustaining a head injury, an 18 month old child displays eye opening only to pain, moans on painful stimuli and withdraws to painful stimuli. What is the modified Glasgow Coma Scale Score in this child ?
An 8 year old child has consumed a few tablets of a drug that were being taken by his motheron a regular basis. Following this the child develops gastric necrosis, acidosis, shock and hepatic necrosis. Which is the most likely drug?
