tolito wrote:there are a lot of concepts that are differnt in step 1 from step 2. eg. flumazenil is not given in benzodiazepine poisoning cos it predisposes to seizures 
Step I and II concepts are not contradictory rather complementary.
Flumezanil is definitely indicated in Benzdiazepine toxicity but contraindicated in certain situation like
If this toxicity occurs
1: Combined with TCA poisoning
2:Seizure patients controlled on Benzodiazepines
3:Chronic Benzodiapine addict
4:Alcohol withdrawl patients.
The common factor in all these patients is these are SEIZURE PRONE
I hope this helps
GL
|
| tolito
Forum Fanatic
Topics: 119
Posts: 2,174
|
thanks seagull.  i finally figured that out about the contraindication of flumezanil use. i need to be careful of the way kaplan step 2 LN puts facts.
___________________
It has been a looooong hard journey but I am inches away from my destination...
|
| cbenitesch
Forum Senior
Topics: 10
Posts: 141
|
Skyscape indications for flumazenil: Complete or partial reversal of sedative effects of benzodiazepines where general anesthesia induced or maintained with benzodiazepines, where sedation produced with benzodiazepines dor diagnostic or therapeutic precedures and for the management of benzodiazepine overdose. SEIZURES: Reversal of benzodiazepine effects may be associated with the onset of seizures in certain high risk population includins the following: concurrent major sedative-hypnotic drug withdrawal; recently therapy with repeated doses of parenteral benzodiazepines; mioclonic jerking or seizure activity prior to flumazenil in overdose cases; concurrent cyclic antidepressant poisoning.
|
|
| |
| | | | 
Similar forum topics