0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Predicting the Clinical Course in Intentional Drug Overdose

Allan R. Tunkel, MD, PhD; Joseph D'Antonio, MD; Suzanne Engel-Kominsky, MD; Barbara Browne, MD
Arch Intern Med. 1988;148(1):253. doi:10.1001/archinte.1988.00380010255036.
Text Size: A A A
Published online

To the Editor.  —The article by Brett et al in the January 1987 issue of the Archives classifies patients with a drug overdose into high- and low-risk groups based on the following criteria: need for intubation, seizures, unresponsiveness to verbal stimuli, arterial carbon dioxide pressure greater than or equal to 45 mm Hg, any rhythm except sinus rhythm, secondor third-degree atrioventricular block, QRS interval greater than or equal to 0.12 s, or a systolic blood pressure less than 80 mm Hg.1 They concluded that patients observed for several hours and placed into the low-risk category did not develop high-risk conditions necessitating admission to the intensive care unit. An exception to their findings is the patient with acute lithium overdose. We recently cared for a patient with severe lithium intoxication who manifested a delayed rise of serum lithium levels.

Report of a Case.  —A 33-year-old man was seen at our

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();