Psychiatric Emergency Care

  1. The Baker Act does not begin until _________
    The patient is medically cleared or stable
  2. What do you do to manage the overdose?
    Treat the physical condition

    Maintain safety

    Address intention to self-harm
  3. In the initial assessment, it is crucial to
    Keep the patient NPO

    Avoid estimating their weight
  4. Gastric emptying is more effective within _______ by use of ________
    The first hour

  5. What is the maximum dose of acetaminophen?
  6. How do you treat a tylenol overdose?
    First use activated charcoals within 2 hours

    After 2 hours, use N-Acetylcysteine (Mucomyst)

    If no improvement = liver transplant
  7. How do you treat a ecstasy overdose?
    Treat seizures with benzos

    Treat hyperthermia with cooling blanket or ice lavage

    Monitor for arrhythmias, ARF and rhabdomyolysis
  8. How do you treat a GHB overdose?
    Respiratory support

    Maintain fluid balance

    Prevent seizure
  9. How do you treat a Opioid overdose?
    Naloxone (Narcan)
  10. How do you treat a Ethylene Glycol and Methanol (antifreeze) overdose?
    Gastric lavage

    • Ethanol IV
    • Fomepizole (Antizol)

    Consider hemodialysis
Card Set
Psychiatric Emergency Care
Psych ER