Symptoms of overdose- Awake- Body is very pale and limp- Gurgling sound - Breathing is very slow erratic - Pulse is slow,erratic or not at all- Throwing up- Passing out

Opiate Mild-Nodding-Drooling-Cannot concentrate-Pallor-inchorent speech

ModerateVomitingAwake, but unable to talkBody Is very limpBreathing is very slow and eraatic SevereUnconsoiousnessLying vomitingNot breathingChange in skin colorPulse is shallow/erratic

Naloxone: 0.8 mg i

Stimpulant effectAmphetaminemoderate-paranoia-sweating-very rapid pulse-clammy skin-jaw/teeth-inchorent speech-paranoia

Serious-unable to walk and talk-violent action-erratic pulse-pressure tightness of chest

vomiting-inability of Generatl treatment comatoseAnticonvulsant- valiumCardiac arthymiaas- digoxin, lidocaineSevere agitation- anxioltyics benzodiazepine

Hevay metals: chelator Heparin: protamineOragnophospate: pralidoximeCyanide:

Cannabis-Euphoria-poor concentration-loss of coordination-most enchancement-impared memory

insomniaincreased apetitehyperactivitysensory exaggerationthe smell

emesisgastric lavageactivated charcoal

drug removalalteration of ph urinedemulcentmilk magnesiadilution with waterpurgation

PrimaryJauhlan benda yang terbakarLepas benda berhagrgaBuka bajuBilas sambil air mengalir

Airway: pastikan muka , mechanical ventlantionBreathing: Circumfential susah: escharotomyCirculation: ekg, resutasiParkland27 x 200; 5400: 2700:8

337,5 :60:5.625 ml/ menit macro drip

EvaluationVital organHb-gtMontiroingUrine outputttv-give analgetic-Dekormpesi lambung bila ada ileus-Give tetanus

BURN Centaer >10 % tbsa >50 years2 and 3rd degree burn >20% TBSAFace, hand, gentialiaThird degree >5% in any any region nCircumferential injuryBurn with fracture and other

>10 % TBSA >50 years2nd and 3 rd degree burn 20 % TBSAface hand and gentialia cosmeticthird degree >5