Benadryl Overdose

Benadryl Overdose Treatment

Julie Weber Poison Alerts

Diphenhydramine is a ubiquitous OTC medicine found in almost everyone’s medicine cabinet. It is commonly known as Benadryl® or Banophen®. It treats allergies, itching, hives, URI symptoms, motion sickness, and insomnia. The drug comes in capsules, cough and cold preparations, and topicals. It almost meets the old-fashioned definition of a …

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Mushroom Poisoning

Twistadmin Poison Alerts

There are bold mushroom hunters and there are old mushroom hunters, but there are no old bold mushroom hunters. — A wise person As spring approaches, one thing we can count on: mushrooms in the yard, woods, roadsides, etc.  We can also count on children’s curiosity getting the best of …

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Gastric Decontamination

Twistadmin Poison Alerts

“First do no harm.” Can GI Decontamination (GID) do harm? Sometimes: A child who was seen ingesting several tablets of clonidine is brought to an ED 30 minutes post ingestion. Upon arrival, the alert child is lavaged and given AC by orogastric (OG) tube. As often happens rapidly with clonidine, …

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Toxic Hazards in the All American Garage Part 2

Twistadmin Poison Alerts

We hope you found a new tox tidbit in Part 1 of “Toxic Hazards in the All-American Garage” about toxic alcohols and hydrocarbons, but there are still more hazards in the garage to discuss. Refresh your knowledge about lawn/garden products and caustics in this second issue. Lawn and Garden Products …

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Foreign Body & Battery Ingestion

Twistadmin Poison Alerts

“Kids Swallow the Darndest Things” News headlines earlier this year sounded the alarm,  “Toddler Dies After Ingesting Button Battery,” and “Child Nearly Dies After Swallowing Magnets.”  Oral exploration of small objects is a typical behavior of young children. Occasionally the object being mouthed is swallowed, and parental anxiety goes off …

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Synthetic Cannabinoids

Twistadmin Poison Alerts

Be on alert there are reports in both the media and to poison centers, of what appears to be an emerging drug of abuse. Often patients are calling the substance “synthetic marijuana.”. No one, however, positively has identified the actual chemical involved in these exposures. Calls to some of the …

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The FLACK about FLAKKA

Twistadmin Poison Alerts

New recreational drugs are hitting the international scene at a rapid-fire pace – by some estimates one novel substance a week.  In 2015, one of these made the news in Florida and was also reported in other states across the country.  This drug goes by the name of  “flakka,” derived …

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Carbon Monoxide Poisoning: Risk without Warning Properties

Twistadmin Poison Alerts

You knew it for the Board exam….but do you know it when you see it?  Carbon monoxide poisoning should feature prominently on the differential diagnosis for non-specific, flu-type symptoms during cold weather. Risk without warning properties Carbon monoxide (CO) is a tasteless, odorless, colorless, non-irritating gas that gives no warning …

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Why Call The Poison Center

Twistadmin Poison Alerts

All things are poison.  It is only the dose that differentiates a poison from a remedy.” – Paracelsus (1493-1541) Yes, but what’s the crucial dose?  The Specialists in Poison Information at the Missouri Poison Center are ready to figure that out. Difficult or Unusual Cases The Missouri Poison Center (MPC) can …

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Perils of Physostigmine

Twistadmin Poison Alerts

Classic Anticholinergic Toxidrome Hot as Hades (hyperthermia) Red as a beet (cutaneous flushing) Blind as a bat (mydriasis and loss of accommodation) Dry as a bone (reduced sweating and secretions) Mad as a hen (delirium and hallucinations) Does this describe a patient recently treated in your emergency room?! These symptoms …

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Nicotine – Acute Toxic Hazard in E-Cigarettes

Twistadmin Poison Alerts

Acute nicotine toxicity in children is on the rise due to the increase in “vaping” with electronic cigarettes by adults. E-cigarettes utilize nicotine and flavoring dissolved in a solution of propylene glycol, polyethylene glycol, and/or vegetable glycerin. When a small quantity of this liquid is passed over an interior heating …

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