A 25-year-old man is brought to the ED by friends after a suspected mixed overdose of alcohol and unknown pills. He is drowsy but arousable, with airw...

Question

A 25-year-old man is brought to the ED by friends after a suspected mixed overdose of alcohol and unknown pills. He is drowsy but arousable, with airway protected, stable vital signs and normal glucose. Pupils are mid-sized and reactive. Which initial investigation is most strongly recommended in all patients with suspected overdose?

Accepted Answer

Serum paracetamol (acetaminophen) level

Answer

Serum lithium level

Answer

Serum digoxin level

Answer

Urine porphyrin screen

Answer

No investigations are needed if vital signs are stable

ca-mccqe1 MCQ (SBA): Undifferentiated overdose