Indiana Poison Center, this is Gwenn RN, how may I help you?
8:00 am “My 20 month old, 19 pound daughter just took the medicine we had laid out for my 12 year old son. That’s Concerta® 36 mg, 2 tablets. Will she be OK?”
“Well, she’s going to need to come into the Emergency Room and be monitored for awhile. This is a pretty strong medication and it can affect her heart and her neurological status. But I think with appropriate care she’ll be just fine. What hospital will you take her to?”
08:05 am I called report to Community Memorial ER about the child who ingested the Concerta®. Talked to Kylie RN and suggested Activated Charcoal PO, EKG monitor, benzodiazepines if symptomatic, monitor for at least 6-8 hours for this SR product.
08:07 am “My 2 year old son just drank some cologne! He’s spitting and carrying on something awful! What should I do?”
Cologne has a lot of alcohol in it and it tastes horrible. However, a little bit of it’s not going to harm him. Wipe his mouth out with a clean wet cloth and start him on some juice or Koolaid, then bring the bottle back to the phone …
08:32 am I’m 79 years old and I do NOT have dementia. But I think I just took a double dose of my Tylenol Arthritis Extra Strength. I usually take 2 tablets 3 times a day, at 7 am, 3 pm, and 11 pm. But I got up early this am and took my Tylenol at 7 am and I think I took it again just now!”
One time a double dose of Tylenol®, even Tylenol Arthritis Extra Strength®, should not harm you. But you will need to restrict the total amount of Tylenol® that you take for the day, so you don’t take too much for the 24 hour period. I suggest you skip your 3 pm dose and resume your dose at 11pm, OK? Or you can check with your Doctor’s office and see what they say.
08:44 am This is Officer Mitch Jones calling from Happyvale Police Dept. and I want to identify a pill confiscated at a traffic stop. There has been no exposure. It’s a round yellow tablet with the imprint TL 177.
This is cyclobenzaprine, common name Flexeril; it is a prescription but not a Scheduled drug.
0851 am This is Deb RN calling from Memorial General ER. These parents just brought in a 7 month old who chewed on a paint brush that had been dipped in oil based paint, wrapped in tin foil, and stored in the refrigerator. He is coughing and spitting. He seems to be oxygenating OK, as his color is good and his biox is 98% on RA.
OK, oil based paint is a concern because it is a Hydrocarbon and if even a few drops are aspirated into the lungs, it can cause a nasty hydrocarbon pneumonitis. Treatment is basically symptomatic – O2, RT treatments, CXR, biox, ABGs – the usual. Real rarely these kids will require mechanical ventilation. Antibiotics only if there are signs of a secondary infection and no need for steroids…
Gwenn
To be a registered nurse at Clarian, visit Registered Nurse Career Job Search.
8:00 am “My 20 month old, 19 pound daughter just took the medicine we had laid out for my 12 year old son. That’s Concerta® 36 mg, 2 tablets. Will she be OK?”
“Well, she’s going to need to come into the Emergency Room and be monitored for awhile. This is a pretty strong medication and it can affect her heart and her neurological status. But I think with appropriate care she’ll be just fine. What hospital will you take her to?”
08:05 am I called report to Community Memorial ER about the child who ingested the Concerta®. Talked to Kylie RN and suggested Activated Charcoal PO, EKG monitor, benzodiazepines if symptomatic, monitor for at least 6-8 hours for this SR product.
08:07 am “My 2 year old son just drank some cologne! He’s spitting and carrying on something awful! What should I do?”
Cologne has a lot of alcohol in it and it tastes horrible. However, a little bit of it’s not going to harm him. Wipe his mouth out with a clean wet cloth and start him on some juice or Koolaid, then bring the bottle back to the phone …
08:32 am I’m 79 years old and I do NOT have dementia. But I think I just took a double dose of my Tylenol Arthritis Extra Strength. I usually take 2 tablets 3 times a day, at 7 am, 3 pm, and 11 pm. But I got up early this am and took my Tylenol at 7 am and I think I took it again just now!”
One time a double dose of Tylenol®, even Tylenol Arthritis Extra Strength®, should not harm you. But you will need to restrict the total amount of Tylenol® that you take for the day, so you don’t take too much for the 24 hour period. I suggest you skip your 3 pm dose and resume your dose at 11pm, OK? Or you can check with your Doctor’s office and see what they say.
08:44 am This is Officer Mitch Jones calling from Happyvale Police Dept. and I want to identify a pill confiscated at a traffic stop. There has been no exposure. It’s a round yellow tablet with the imprint TL 177.
This is cyclobenzaprine, common name Flexeril; it is a prescription but not a Scheduled drug.
0851 am This is Deb RN calling from Memorial General ER. These parents just brought in a 7 month old who chewed on a paint brush that had been dipped in oil based paint, wrapped in tin foil, and stored in the refrigerator. He is coughing and spitting. He seems to be oxygenating OK, as his color is good and his biox is 98% on RA.
OK, oil based paint is a concern because it is a Hydrocarbon and if even a few drops are aspirated into the lungs, it can cause a nasty hydrocarbon pneumonitis. Treatment is basically symptomatic – O2, RT treatments, CXR, biox, ABGs – the usual. Real rarely these kids will require mechanical ventilation. Antibiotics only if there are signs of a secondary infection and no need for steroids…
Gwenn
To be a registered nurse at Clarian, visit Registered Nurse Career Job Search.
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