Author: Abdullah Al Faisal, Harsimran Kaur Surinder Singh, Kainat Ferdous / Editor: Sarah Edwards / Codes: CC3, CC9, CP3, PhC3, PhP3, SLO5 / Published: 28/03/2025
A 2-year-old boy is brought to the emergency department (ED) by his parents 1 hour after accidentally ingesting water from a glass containing cigarette butts that were left overnight for disposal. The parents stated that there were two cigarette butts in the glass, and he ingested the water about an hour ago. They also noted symptoms of palpitations, nausea, and vomiting.
Past Medical History:
- No significant medical history
- Medications: None
- Allergies: No known allergies
- Immunizations: Up to date
- Family History: Nil Significant
Examination:
- General Appearance: Agitated and uncomfortable
Vital Signs:
- Heart Rate: 170/min, regular
- Respiratory Rate: 28 breaths/min
- Sa02-98 on RA
- Blood Pressure: 90/50 mmHg
- Temperature: 37.3°C
- 12 Lead ECG-Sinus Tachycardia, QTc within limit according to nomogram.
- Weight: 12kg
One Response
Other Features of Nicotine Toxicity: Nausea, vomiting, abdominal pain Hypertension, then possibly hypotension. Confusion, seizures, coma in severe cases. Respiratory failure (due to neuromuscular paralysis)
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