A 4-year-old, formerly healthy female toddler is seen in clinic with an acute onset of vomiting. On physical examination the child is tachypneic (respirations of 60 breaths per minute), febrile (temperature of 102°F), sleepy, and difficult to arouse. The parents explain they are visiting the child’s grandparents. Serum laboratory results are Na+ 150 meq/L, K+ 2.9, Cl− 99, HCO3 − 18 meq/L, glucose 45 mg/dL, anion gap 26, BUN 16 mg/dL, creatinine 0.3 mg/dL. Blood gas pH 7.25, Pco2 15, Po2 88, BE −18.0. This child most likely ingested which of the following? A. Acetaminophen B. Ethanol C. Ibuprofen D. Oil of wintergreen E. Organophosphate
Posted on: Wed, 20 Nov 2013 11:00:00 +0000
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