Benzodiazepine Toxicity Clinical Presentation
- Author: Chip Gresham, MD, FACEM; Chief Editor: Asim Tarabar, MD more...
The history should include the time, dose, any co-ingestants, and whether the overdose was accidental or intentional. It is also important to determine the duration of benzodiazepine (BZD) use.
Symptoms of BZD overdose may include the following:
- Blurred vision
Focus the physical examination on the patient's vital signs, cardiorespiratory and neurologic function. "Classic" isolated benzodiazepine (BZD) overdose presents as coma with normal vital signs.
Findings on physical examination may include the following:
- Slurred speech
- Altered mental status, impairment of cognition
- Paradoxical agitation
- Respiratory depression
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