Patient History: A 7-year-old female arrives at the Emergency Department with her parents after she was found playing in her room with an open bottle of topiramate 25 mg tabs. The parents noted that there were three pills missing. The medication belongs to the patient’s mother, which she takes for migraine prophylaxis. PMH: ADHD Medications- Methylphenidate, clonidine. Physical Examination: Temperature: 98.7°F Heart rate: 130 bpm Respiratory Rate: 12 breaths per minute BP: 92/54 mm Hg General: Sleepy appearing child resting comfortably on the bed. HEENT: Pupils are 3 mm and equally reactive to light. No nystagmus.
CV: Tachycardia, regular rate, and rhythm. Pulmonary: Clear to auscultation. Abdomen: Soft, nontender. Skin: Warm and dry. How will you manage these adverse events? *This patient case is from Docplexus Editorial Team for educative purposes only. Source:…
