Pharmacology/Toxicology Case Studies + 132 Pages + 60 Case Studies + Each case includes multiple questions followed by a detailed explanation Acknowledgments Ohio Chapter ACEP would like to thank the following for their invaluable contributions to this text: Text and Editor: Hannah L. Hays, MD Reviewers: Marcel J. Casavant, MD, FACEP, FACMT Kristin Daugherty, MD Heath Joliff, DO, FACEP Copyright © 2012, 2006, 2000, 1997 Ohio Chapter, American College of Emergency Physicians. All rights reserved. No part of this publication may be reproduced or transmitted in any form, electronic or mechanical, including photocopying, recording, storage in any information retrieval system, or otherwise, without written permission from the publisher. Ohio Chapter, American College of Emergency Physicians 3510 Snouffer Road, Suite 100, Columbus, Ohio 43235 (614) 792-6506 (888) OHACEP4 (642-2374)
[email protected] www.ohacep.org PHARMACOLOGY/TOXICOLOGY CASE STUDY #1 History: A 14-year-old female is brought to your emergency department by her parents after she admitted to ingesting a total of ten, 250 milligram amoxicillin tablets four hours ago after an argument at home that resulted in loss of her phone privileges. Her parents are concerned that she was trying to kill herself. She denies any co-ingestion and has no symptoms. There are no other prescription medications in the home. PMH: None. Physical Examination: T: 99 °F HR: 100 bpm RR: 16 breaths per minute BP: 100/70 mm Hg General: The patient is tearful, but otherwise in no distress. The remainder of the physical exam is completely normal. QUESTIONS CASE STUDY #4 1. What testing, if any, should be obtained? 2.