Table of Contents

Problems for Discussion - 2 - Xanthines

PROBLEM 1

A 65-year-old man presents 40 minutes after ingestion of 5 grams of Slow Release Theophylline. He is agitated and vomiting. Pulse 130 regular, BP 110/70, ECG sinus tachycardia.

  1. What method(s) of decontamination would you use, and what advice would you give to aid this management?

PROBLEM 2

An 80-year-old female, weight 60kg, presents following a seizure, with vomiting. There is no history of overdose, but her GP has doubled her Theodur recently because of some wheezy breathing. GCS 15. Pulse 120 BP 110/60, ECG Sinus tachycardia

  1. Would you decontaminate her; what method would you use?
  2. What is the definitive treatment in this patient?