02-15-2011, 03:15 PM
pt admitted to ER with bleeding gums, bloody emesis, bruises all over. She admitted of having ingested rat poison. what's the immediate treatment?
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rat poisoning - tet
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02-15-2011, 04:00 PM
contains what is known as 'Superwarfarins' commonly seen in rodenticides aka rat poison... the method of killing in rat is blockage of Vit K cycle====> no production Vit K dependent coagulation factors 2, 7, 9, 10====> extensive bleeding and death!
Same thing happens in humans as well "she admitted to have consumed rat poison"--- an unlikely vignette coz most questions are 'most common' kinda question--- therefore the commonest exposure type is accidental and commonest exposure group will be children under 6!
02-15-2011, 04:03 PM
i didn't make this test, and it was like that in the test, isn't it possible someone to try kill herself with a rat poison? especially a woman, who changes her mind in the halfway?
02-15-2011, 04:05 PM
blood transfusion (for blood loss) + FFP (for coagulation factor replacement) + IV Vit K ( to compensate for all the lost VitK)----> First line therapy
02-15-2011, 04:07 PM
yeah you are right---can be possible-- hovering over to behavioral science for a sec-- Men are suicide completers and women are attempters!
02-15-2011, 04:12 PM
i had a patient a young lady who had 28 suicide attempts, and would go to bathroom, lock herself up, pull out her tracheostomy and call for help when she was starting to choke.
02-15-2011, 05:46 PM
FFP + VIT K IV + BT but always ABC first
NPO airway IVF ekg TYPE AND CROSS MATCH /CBC/CMP/UA/BT/CLOTTING PROFILE/cxr/ua AND ADMIT ICU |
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