Antidotes for Acetaminophen Overdose
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Questions and Answers

What is the function of N-acetylcysteine in acetaminophen overdose?

  • Increasing liver injury
  • Enhancing the activity of cytochrome P450
  • Detoxifying the toxic metabolite NAPQI (correct)
  • Promoting the formation of harmful metabolites

What is the role of Flumazenil in benzodiazepine overdose?

  • Reverting the effects of intoxication (correct)
  • Inducing acute withdrawal syndrome
  • Acting as a benzodiazepine receptor agonist
  • Precipitating cell injury

Why is careful monitoring necessary when administering Naloxone?

  • To prevent acute withdrawal syndrome
  • As the naloxone effects wear off (correct)
  • To prolong the naloxone effects
  • To induce renarcotisation

What can happen if the detoxification pathway for NAPQI becomes saturated?

<p>Increased liver injury (D)</p> Signup and view all the answers

What is the impact of acetaminophen overdose on liver cells?

<p>Cell injury and death (B)</p> Signup and view all the answers

In what scenario is Naloxone used as a treatment?

<p>Opiate overdose (B)</p> Signup and view all the answers

What is the mechanism of action of naloxone in opiate overdose?

<p>Competitive antagonist at opioid receptors (A)</p> Signup and view all the answers

Why is dual consultation between a psychiatrist and pain management specialist essential for pain management in cases of opiate ingestion with suicidal intent?

<p>To manage psychiatric comorbidity (B)</p> Signup and view all the answers

What is the primary function of flumazenil in managing benzodiazepine overdose?

<p>Competitively inhibiting benzodiazepine activity (A)</p> Signup and view all the answers

When should high-risk patients with paracetamol overdose be treated with N-acetylcysteine?

<p>At a paracetamol concentration above the treatment line (D)</p> Signup and view all the answers

What effect can discontinuing naloxone therapy have on chronic pain patients who are not using opiates recreationally?

<p>Increase in pain (A)</p> Signup and view all the answers

Which route of administration is suitable for giving flumazenil in benzodiazepine overdose?

<p>Intravenous or infusion routes (C)</p> Signup and view all the answers

Why is it important to assess paracetamol concentration 4 hours after overdose when considering N-acetylcysteine treatment?

<p>To evaluate risk of hepatotoxicity (A)</p> Signup and view all the answers

What effect does N-acetylcysteine have on hepatic glutathione stores in cases of paracetamol overdose?

<p>Replace exhausted stores (C)</p> Signup and view all the answers

Which characteristic differentiates naloxone from flumazenil in their respective mechanisms of action?

<p>Receptor selectivity (B)</p> Signup and view all the answers

What is a key determinant of liver damage after paracetamol overdose?

<p>Alanine transferase levels (A)</p> Signup and view all the answers

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