Monday, April 27, 2009

What do Abilify, Tylenol, and Swine Flu have in common?

http://farm1.static.flickr.com/48/173133146_cc82b78ea1.jpg?v=0Nothing really....but they had to do with a few of my patient's today in the pediatric ICU

1st patient was a 2 year old who got into his ten year old brothers abilify (antipsychotic). First of all....I am pretty much against ten year olds being on those kind of meds...but that's really Psych Doc's field so my opinion shouldn't be taken too seriously. Anyways...he took about 25 tabs of the antipsychotic. He will be really sleepy for a few days, but should be ok.

2nd was a 17 year old female who just gave birth to her first child 3 days prior. Mix that with some post partum depression, and you have an extra strength tylenol overdose. 20 tabs according to her. I was biased when I heard 20 tabs...and figured the toxicity wouldn't be bad. I was dead wrong. Fulminant liver failure soon took over! Hopefully with treatment we intervened in time.

3rd was an 11 month old transferred from another hospital intubated from respiratory distress. Story was he was fine yesterday, then woke up this morning with a high fever and trouble breathing (no past med history). Went to the hospital and failed breathing treatments, got worse, and ended up being intubated. They did a viral test...and he tested positive for influenza A. I haven't seen influenza A be positive for awhile...so there a good chance this could be Swine, but still unclear. Cultures were sent to the CDC, and the news was not notified so you aren't seeing us on the news yet! I hope those isolation gowns we wear that you can pretty much see through can block transmission of the germs...

-ER Doc

15 comments:

Lilorfnannie said...

That red background is *really* hard to read against. Perhaps you folks could consider some less vivid contrasts?

Special Sauce said...

Fiance was really surprised at how fast Tylenol can jack your liver up. Tylenol will kill you- just not in the way you hoped it would.

GingerJar said...

Poor baby...hopefully not Swine flu, the upside...the young are usually recovering.

Maybe the 17 year old needs to consider adoption for her infant if she is unable to manage it at this point...Suicide would make it an orphan...just a thought. I'm sure there are a lot of adoptive parents out there. Seventeen...life is just starting, she is probably just not ready for the reality of parenting.

kat79 said...

I just had to say that I agree with the pp about the red background.

Trust us....we're doctors said...

do you guys like these colors better?

tracy said...

Such sad stories, all...
Especially the 17 year old mom.

Andrea said...

I agree that a 10 year old on Abilify is ridiculous. Blows my mind.

Are you talking about those yellow isolation gowns? The ones that make your nose itchy as soon as you're gloved and masked? They're not water-tight. We ran some water on the seam of a sleeve one time and it leaked right through. Nice, huh?

JG said...

The gray background is much easier on the eyes.

Bo... said...

Aaargh...I don't miss my ER days...we had to take prophylactic Cipro every five minutes and I got weary of adolescent angst...(yeah, I'm burnt out for good.)

kat79 said...

Yeah grey is much better.

ndenunz said...

Ditto on the gray.

SeaSpray said...

Found you through Whitecoat and enjoying your blog. Now blogrolling. :)

SeaSpray said...

Oh..and great name. Serenity now... was hilarious when George's father kept saying that in one episode.

Serenity NOW!!! :)

Trust us....we're doctors said...

UPDATE ON SWINE BOY: After much scare and the health department calling to confirm our lil guy had swine....a call shortly after confirmed the test was a false +. So....swine boy is now just pneumonia boy. Good for him... should be fine once off the vent

Lilorfnannie said...

Gray is much better, thank you :-)