A patient comes voluntarily to Casualty after a mild overdose of benzodiazepines

Question Number 0390

Question:
A patient comes voluntarily to Casualty after a mild overdose of benzodiazepines. She says that she was feeling depressed that morning and had ingested five times her usual dose of tablets. Since then she has vomited twice. On examination the patient is awake and cooperative. The physician is concerned that a clinically significant fraction of the ingested substance may have remained in the GI tract. What is the most appropriate next step

a) peritoneal lavage
b) surgical excision
c) reduction of groin hernias
d) oral activated charcoal
e) laparotomy


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