Category Name: FOAMTOX
A two-year-old male presents to the emergency department following the ingestion of his grandmother's propranolol. Upon presentation, the young boy is lethargic. EKG demonstrates sinus bradycardia (heart rate: 39 beats per minute) and a first degree AV block. How do you treat this patient's bradycardia? Read this week's review of beta-blocker toxicity for a rapid refresher.
Fentanyl and fentanyl derivatives are causing a spike in overdose deaths, whereas deaths from prescription opioids are stabilizing. Patients overdosing on novel synthetic opioids or "designer opioids" can require high doses of naloxone. Health care personnel can be at risk for exposure without proper protection.