Toxicology

Critical Cases - Acetaminophen Induced Methemoglobinemia!

A 32 yo male suffering from dental pain for the past several days presents to the ED complaining of abdominal pain. He notes ingesting large quantities of acetaminophen for the pain. Your triage nurse notes he is hypoxic on RA at 86%, but oddly this does not rise when the patient is placed on oxygen....

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Bupropion Overdose

Bupropion, most commonly sold as Wellbutrin, has many uses ranging from depression to smoking cessation.  It comes, however, with several side effects we should be aware of and some scary effects when taken in overdose.  In this post, we review this medication, the risks associated with it, and how to manage an overdose.

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Critical cases - Digoxin toxicity!

An elderly female arrives complaining of fatigue and weakness (easy right?) and a casual glance at the MAR shows the she is on digoxin for CHF. You notice she has a HR in the 50s and wonder if digoxin toxicity could be repsonsible for her symptoms. Lucky for you, you brushed up on this basics with this quick case review!

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