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Tyler Nomo is a 24 year old college student who presents to the ED with a chief complaint of, "I took a bunch of pills." Mr. Nomo refuses any further history yet his roomate reports that he has been depressed of late and he took "a whole bunch of stuff" but he doesn't have the bottles with him. The roomate reports that the ingestion occurred about two hours ago, maybe more. Mr. Nomo is in no acute distress and his vitals are HR 80, BP 140/60, RR 16, T 37, Pulse Ox 97% on RA. |
| 1. | What do you do | ||
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| 2. | What about Gastric lavage? | ||
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| 3. | What about Charcoal? With or without Sorbitol? | ||
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| The patients roomate returns and tells you that all he could find was two empty bottles of Tylenol and two half empty bottles of antibiotics. The Tylenol bottles were new. You quickly calculate that that would make a Tylenol ingestion over 10.5 gr. (or 150 mg/kg in a child). | |||
| 4. | What next? It's been about 3 hours since ingestion. | ||
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