Case files of the Medical Toxicology Fellowship Training Program at the Children's Hospital of Philadelphia: a pediatric exploratory sulfonylurea ingestion.

摘要: A 26-month-old boy was taken to the Emergency Department (ED) with concern that he had ingested his mother’s oral hypoglycemic medication. He and 4-year-old sister been caught playing their pill bottles, girl admitted giving him one eat. Although implicated pills could be positively identified as extended-release glipizide (10 mg), a count deemed unreliable because medicine transferred from its original childproof container. In addition, too many were present mother compliant her prescribed dosing. The developmentally normal, in good health no medication allergies. Additional medications reportedly available within home included several over-the-counter preparations, prescription pain medications, different bottle of anti-diabetic agents. Several months earlier received care another ED for an exploratory cold-medication ingestion. arrived at approximately 80 minutes after presumed exposure. alert, playful, interactive, heart rate 102 beats/minute blood pressure 100/62 mmHg, not diaphoretic. His physical examination unremarkable, given 25 g activated charcoal, aqueous solution flavored cherry syrup, drink. estimated have cooperated drinking little more than half charcoal.