Sign Out
Symptoms: Anorexia, nausea, vomiting, nervousness, insomnia, agitation, irritability, headache, tachycardia, extrasystoles, tachypnea and tonic/clonic convulsions.
Treatment: If Seizure has not Occurred: Induce vomiting, even if emesis has occurred spontaneously. However, do not induce in patients with impaired consciousness.
If Seizures Occur: Establish an airway and administer oxygen. Administer IV diazepam 0.1-0.3 mg/kg up to 10 mg. Monitor vital signs, maintain blood pressure and provide adequate hydration.
Post-Seizure Coma: Maintain airway and oxygenation. Perform intubation and lavage instead of inducing emesis. Introduce the cathartic and activated charcoal via a large bore gastric lavage tube. Provide full supportive care and adequate hydration while the drug is metabolized. If repeated, oral activated charcoal is inactive, a charcoal hemoperfusion may be indicated.
