Benzos
Pathology:
Enhance GABA
Benzos
ASAP:
ABCs, IV, O2, monitor, VS, EKG
Benzos
Benzos
Hx/Exam:
Iatrogenic vs other OD, SAMPLE hx, lethargy, ↓RR
Benzos
Labs:
Standard labs, EtOH (EtOH + benzos = resp depression/arrest
Benzos
Tx:
Supportive
Benzos
If iatrogenic benzo OD…
Flumazenil 0.2mg IV over 30 sec, wait 1 min then 0.3mg IV over 30 sec, wait 1 min then 0.5 mg IV over 30
sec, etc. Max 5 mg.
Benzos
If mixed ingestion, chronic benzo user or h/o szs…
Do not use flumazenil, supportive care only.