Bob's MICU/CCU Survival Guide
Overdose and Drug Reactions
General Considerations Drug
A. Overdose only applied to drugs.
B. Poison is applied to substances other than drugs.
C. May be intentional or accidental.
II. Signs and symptoms of an overdose
A. Depends on the drug.
B. Diagnosis of an overdosed patient is
generally straightforward if the drug is known.
1. Can be very difficult if the
patients cannot state what drug they have overdosed on.
2. At times, certain
symptoms and signs exhibited by the patient.
3. Blood tests, can reveal
the type of drug
III. Supportive Treatment
A. Even without knowing the drug, most
patients can be treated with general supportive measures.
B. In some instances, antidotes may be
sufficient indication the patient has overdosed on
particular type of medication.
Breathing and Circulation is always the initial treatment of an
1. Establishing a stable
2. Ventilation is
considered with low respiratory rate or hypoxia.
D. Treat for shock.
E. Identify the drug
2. BUN Creatine
3. Acetaminophen Paracetamol
4. Salicylate levels
1. Temperature, pulse,
respiratory rate, blood pressure,
2. Electrocardiography (ECG)
3. O2 saturation.