Clonidine is a common medication prescribed for a variety of indications in both the adult and pediatric population. It's also on the "one pill can kill" list. Read on below for a high level overview of clonidine and how to manage an overdose.
Which of the following medications is NOT associated with methemoglobinemia? (scroll down for answer)
A) Quinines
B) Benzocaine
C) Sodium Nitrite
D) Dapsone
E) Ciprofloxacin
Often confuse methanol and ethylene glycol poisoing? Need a refresher on how they present? Read on below for a quick review that could come in useful one day either at the bedside or while taking an exam.
You want me to give the patient 90 units of insulin followed by 45 units/hour?! What?! Here is some helpful information about high dose insulin.
A 25 year old female presents with plaquenil overdose. She is hypotensive with a systolic blood pressure of 70. She complains of dizziness. EKG shows QRS widening. You initiate 2L of normal saline but her systolic blood pressure persists in the 70s. What is your vasopressor of choice?
A. Norepinephrine
B. Epinephrine
C. Dobutamine
D. Phenylephrine.
Answer: B - Epinephrine
Toxicologist, Dr. Haroz, discusses a drug that has recently been in the news - Kratom.
A 30 year-old female presents altered and minimally responsive. She was found next to an empty bottle of Valproic Acid. Her blood pressure is 130/80, heart rate is 90, afebrile and without tachypnea or hypoxia. You stabilize her. Depakote level is 550. What is the treatment of the choice?
A. L-carnitine
B. Naloxone
C. Carbapenem
D. Fomepizole
E. N-acetylcysteine
F. Hemodialysis
Answer: A, L-carnitine
Dr. Lou Argentine discusses a case of Valproic Acid overdose at this weeks lecture series.
Need a quick refresher on which antidote goes with which toxin or toxidrome? Read on below for a quick review.
This post was inspired by a recent clinical case in our department. A 7 week full term infant s/p spontaneous vaginal delivery with a normal maternal prenatal screen and course presents to your ED for not eating x 12 hours. On exam, you note decreased spontaneous movements, a weak suck and a weak cry noted. Vitals are normal. What's the diagnosis?
