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Posted

What would you all do for treatment for a Visteril and Trazodone OD?

Posted

We don't carry any kind of antidotes for those meds, so support ABC's and transport. I would consider charcoal possibly via NG tube only if I were a great distance from the hospital and we knew apprx. when the meds were taken, of course medical command or poison control would be a resource here. :lol:

Posted

Definitive treatment for Trazodone overdose is Activated Charcoal and/or Gastric Lavage, and treatment for symptomatic hypotension should it occur...

Treatment for a Vistaril overdose is supportive...

Posted

This is a good time to use the Activated Charcoal.

As long as the patient is not unconscious, 1 gm/kg should do nicely.

Secure an airway, supportive care, large IV to support blood pressure/perfusion status, transport to one of those places with all of the doctors...

Posted

In the ER we would perform supportive care and monitoring in addition to the prehospital treatments already talked about. The patient would have labs drawn. (CBC, CMP, UDS, ASA, APAP, ETOH, HCG) We would probably do a base line 12 EKG and base other tests around this "toxic workup" and the patients hemodynamic status. If the patients condition and time allowed, Activated Charcoal would probably be given and the patient would be admitted to ICU for monitoring.

Take care,

chbare.

Posted
Anti-depressant and a sedative...

Monitor cardiac, iv lock and low oxygen, bloods for baseline labs...

Treat symptoms as they develop and drive to some sort of ER type place...

:lol:

Posted

Along with the above mentioned care, I would also be interested in the patients psych history and would def transport to a hospital with psych facilities (if available)

Posted
Along with the above mentioned care, I would also be interested in the patients psych history and would def transport to a hospital with psych facilities (if available)

she had a + psych history with a life altering event in the past 2 months

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