General Treatment Guidelines

The agents discussed in this chapter share certain generalities useful in guiding management ( Table 159-3). Most overdoses of nonbenzodiazepine sedative-hypnotics are taken orally and often involve coingestants. Therefore, a diligent search for other treatable substances (e.g., acetaminophen and salicylates) is mandatory. Coingestants also may obscure expected toxidrome features or potentiate symptoms, complicating management. All the agents discussed, with the possible exceptions of buspirone, zolpidem, and GHB, cause physical dependence and tolerance in chronic use. Thus hospitalized patients who have been treated for acute toxicity subsequently may develop life-threatening abstinence states that are best anticipated from the ED.

Conquering Fear In The 21th Century

Conquering Fear In The 21th Century

The Ultimate Guide To Overcoming Fear And Getting Breakthroughs. Fear is without doubt among the strongest and most influential emotional responses we have, and it may act as both a protective and destructive force depending upon the situation.

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