Medication overdoses and toxicities Quiz: Ace Your Exams
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A 16-year old girl is brought to the emergency department for evaluation of nausea, hearing issues, and lethargy. Her parents report the patient vomited twice today, felt dizzy, and noted abdominal pain and “ringing in her ears.” Past medical history includes anxiety and depression, for which she is currently undergoing counseling. She does not use alcohol, tobacco, or illicit drugs. Temperature is 38.5 C° (101.3 F°), pulse is 98/minute, respiratory rate is 25/minute, and blood pressure is 120/80 mmHg. The patient appears lethargic and responds only to sternal rub. Laboratory evaluation demonstrates the following values as demonstrated below. Given this patient’s clinical condition, which of the following medications was most likely ingested?
| Laboratory value | Result |
| Serum chemistry | |
| Sodium | 142 mEq/L |
| Potassium | 4.2 mEq/L |
| Chloride | 95 mEq/L |
| Creatinine | 0.9 mg/dL |
| Bicarbonate | 14 |
| pH | 7.41 |
| PaO2 | 80 mmHg |
| PaCO2 | 22 mmHg |
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