Tag: overdose

Valproic Acid Toxicity

The Case 50-year-old woman is brought in by EMS after intentional ingestion of her 500 mg extended release valproate in a suicide attempt approximately 40 minutes prior to arrival. She had recently filled her valproate prescription with 80 tablets and…

TOX: Chasing the Dragon Away

  Written by Adam Blumenberg MD Special thanks to Sage Wiener MD   It’s four o’ clock on a gentle Sunday afternoon. You stir the dregs of your Turkish coffee, secretly hoping for an exciting patient to fill the last…

Refractory Shock

It’s a busy night shift when a nurse alerts you to an elderly patient sent from a nursing home who is hypotensive, tachycardic, tachypneic, febrile, altered, and appears dehydrated.  You assume sepsis, send labs, begin treating empirically with broad spectrum antibiotics, and…