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- Taking into the mouth or swallowing a medication or drug which is any combination of these:
- Not intended for that individual
- Taken in large enough amounts to be possibly hazardous
- Taken accidentally, or as a drug experimentation, or as a recreational drug
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- Symptoms depend on the ingestion:
- Methyl alcohol: acidosis, vision loss, mental status changes
- Aspirin: vomiting, metabolic acidosis in the preschool age group
- Iron tablets: vomiting, possibly gastrointestinal bleeding, Diarrhea, mental status changes, shock
- Lead: vomiting, Constipation, abdominal pain, mental status changes
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- Well-known drug ingestions in pediatrics:
- Aspirin (salicylates) -- see "Poison Ingestion" entry
- Iron tablets -- see ingestion of poison chapter
- Recreational street drugs
- Suicide attempts
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- Diagnosis utilizes compatible history, physical findings, and laboratory results, and in many cases identifying the drug in the patient's blood or urine.
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- Toddlers and preschool children
- Physically overactive children; children who frequently climb to reach shelves
- Disordered behavior
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- Treatment depends on the ingestion. Many substances can be at least partially treated by induced emesis (vomiting). Some drugs can be removed by causing a more rapid transit time in the bowel; or by hemodialysis; or by peritoneal dialysis.
- Attention needs to be paid to the airway, the breathing, and the circulation. The patient may need treatment with fluid and electrolytes for acidosis, alkalosis, or shock.
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- Often serious organ failure
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- Contact 911, a poison center, or a physician immediately, since prompt aid is essential!
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- Shock
- Altered consciousness from any cause
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