A 19-month-old male presented to your emergency department with his parents after ingesting 35 mL of phenytoin suspension. He has had no history of vomiting and seizure activity. Past Medical History: a Brain aneurysm, seizure disorder, feeding disorder. Physical Examination: T: 100.4°F HR: 132 bpm RR: 30 breaths per minute BP: 110/70 mm Hg General: He appears very sleepy but is arousable and has an intact gag reflex. HEENT: Examination reveals horizontal and vertical nystagmus. Mouth examination reveals gingival hyperplasia. Pulmonary: Clear to auscultation.
CV: Regular rate and rhythm without murmur, capillary refill normal. Neurologic: GCS = 15, cranial nerves II-XII intact. Truncal ataxia is present. Hyperreflexia present, all DTR’s. What initial therapy should be instituted? *This case is from Docplexus editorial team for educative purpose only Source: Pharmacology and toxicology…
