Which of the following would indicate the patient must be monitored in an intensive care unit setting following an overdose?
Answer and Discussion
The answer is E.
The presence of any of eight clinical criteria predict a complicated hospital course that could be best managed in an ICU:
1- PaCO2 >45 mmHg
2- A need for emergency intubation
3- The presence of postingestion seizures
4- Unresponsiveness to verbal stimuli
5- A non-sinus cardiac rhythm
6- Second- or third-degree atrioventricular block
7- Systolic blood pressure <80 mmHg
8- QRS duration ≥ 0.12 seconds
- A) PaCO2 >45 mmHg
- B) Seizures
- C) QRS duration ≥ 0.12 seconds
- D) Second- or third-degree atrioventricular block
- E) All of the above
Answer and Discussion
The answer is E.
The presence of any of eight clinical criteria predict a complicated hospital course that could be best managed in an ICU:
1- PaCO2 >45 mmHg
2- A need for emergency intubation
3- The presence of postingestion seizures
4- Unresponsiveness to verbal stimuli
5- A non-sinus cardiac rhythm
6- Second- or third-degree atrioventricular block
7- Systolic blood pressure <80 mmHg
8- QRS duration ≥ 0.12 seconds
Tag :
ICU
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