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the triad of sign & symptoms that is most often present in a patient shortly after taking an overdose of herion includes which of the following?
a) coma, miosis, cyanosis
b) coma, miosis, uticaria
c) coma, mydriasis, constipation
Ans. is b, but i am little bit confused why not a, anybody pls explain, thank u ....
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urticaria is a symptom of herion using ......
it makes u scratch ur skin off ...
the exact mechanism ,i actually dont know ...
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Ans. should be A because heroin causes coma, miosis and cyanosis. However uticaria is also a symptom of opiods but it is felt at lower doses. In this question the person has overdose which means more than 30 mg of heroin. opiods act on u-receptors and cause CNS depression which leads to coma. CNS depression also causes respiratory depression which may lead to cyanosis and hypoxia. BP stays stable for a while but then drops at which point the pt goes into shock and vascular damage ensues. TX overdose with naloxone diluted to 0.4 mg IV slowly until patient's arousal improves.
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(most often) and (shortly after)goes with,,b,,,
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its not a fair question ....i agree
but someone answered A and it was wrong .....
i think may be they r palying with the word "Shortly after taking an overdose "
respiratory depression will take a little bit of time b4 casuing cyanosis ....
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i think it is B
please can any1 write something