DR. WAJEEHA ISSUES

hey all! Like a blue moon or eclipse I appear . Tell a tale and disappear . Today’s discussion is about the little dilemma book VS practice. Around 60 year old lady presented to ER in a drowsy state . Alleged h/o consumption of 10 tabs of 0.5 Alprazolam and 10 tabs of 500mg PCM 1.5hr back. No Vomiting / seizure / frothing/ sweating/ palpitation/ or any incontinence . KCO DM HTN CAD Depression Hemodynamically stable Patient drowsy  yet aggressive pupils 2mm RL+ Power 5/5 Lungs clear Abdomen soft B.S.+ MLC was registered Treatment wise  Pantoprazole Ondasetron  And Gastric Lavage was done They had affordability issues , they took the patient away. So the twist of the tale was OHEM says no gastric lavage for Benzodiazepines as it’s not fatal except for elderly and COPD cases . Only supportive management. Since pCM was 5g n she was elderly . ( mixed poisoning) It was not a blunder. But the consultants do gastric lavage for benz...