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.
A 45 year old man presents to your ED with facial flushing, an itchy rash, nausea and vomiting about 30 minutes after eating at a seafood restaurant in NYC. He says he ordered a peppery tasting fish. Vital signs are as follows: T: 99.8F, HR 105, BP 110/70.
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!
EMS calls ahead to report a 73 yo female with active CPR in progress after being pulled from a housefire. As you run to prepare you resus room, you wrack your brain for everything you know about smoke inhalation victims. Aren't there some toxicology concerns here? Good thing you read this quick refresher on EMDaily!
An intubated 32 year old female is brought to the ED in cardiac arrest. Family was suspecting that this was an overdose.\ given a recent hospitalization for acetaminophen overdose. EMS reports that on arrival the patient had a bluish discoloration to the skin, and she is now extrememly pale with the appearance of a cadaver. What could have caused this clinical picture? Read on for a discussion of a very rare but extremely deadly poisoning...