History A 13-year-old female who is 37 weeks pregnant, presents to the emergency department via emergency medical services (EMS) after ingesting 70 prenatal iron tablets two hours ago in a suicide attempt. EMS reports arrived at the scene approximately one hour after ingestion and administered ipecac. The tablets contained 325 mg of ferrous sulfate. The patient complains of three episodes of emesis and diarrhea.
PMH : None Physical Examination : T: 98.6°F HR: 110 bpm RR: 12 breaths per minute BP: 100/65 mm Hg Weight: 65 kg General: Alert female in no distress HEENT: Mucus membranes moist. Pupils equal. Pulmonary: Clear to auscultation CV: Tachycardia with regular rhythm and no murmurs Abdomen: Soft, mildly tender in epigastrium Rectal: Heme negative Neurologic: Normal Is the fetus at high risk of becoming iron toxic? *This case is from Docplexus Editorial…
