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68,71,73,75,76

Toxic doses of salicylate directly stimulate the medullary respiratory center leading

to nausea, vomiting, tinnitus, delirium, tachypnea, seizures, and coma and influence

several key metabolic pathways.

68,73–77 Direct stimulation of the respiratory drive

increases the rate and depth of ventilation, which can result in primary respiratory

alkalosis. The respiratory alkalosis causes increased renal excretion of bicarbonate,

resulting in decreased

p. 68

p. 69

buffering capacity. The patient usually presents with a partially compensated

respiratory alkalosis.

68,74,75,77 Hypokalemia can result from increased GI and renal

losses of potassium, as well as from systemic alkalosis.

68,75,76 Although marked

metabolic and neurologic abnormalities are most commonly observed in young

children with advanced salicylate intoxication, adolescents or adults acutely

poisoned with a large dose of salicylates can exhibit these symptoms as well.

68,74,75

Acute salicylism in a young child often takes a more severe course than that typically

seen in adults. After acute ingestion, children quickly pass through the phase of pure

respiratory alkalosis. Renal bicarbonate loss secondary to respiratory alkalosis

reduces the buffering capacity more profoundly in a child and facilitates the

development of metabolic acidosis.

68,73,75,77

Salicylates have toxic effects on several biochemical pathways that contribute to

metabolic acidosis and other symptoms.

68,75,77 Mitochondrial oxidative

phosphorylation is uncoupled and results in an impaired ability to generate highenergy phosphates, increased oxygen use and carbon dioxide production, increased

heat production and hyperpyrexia, increased tissue glycolysis, and increased

peripheral demand for glucose. Salicylates also inhibit key dehydrogenase enzymes

within the Krebs cycle, resulting in increased levels of pyruvate and lactate. The

increased demand for peripheral glucose causes increased glycogenolysis,

gluconeogenesis, lipolysis, and free fatty acid metabolism. The latter results in

enhanced formation of keto acids and ketoacidosis.

73,77

The patient may become severely volume depleted through several

mechanisms.

68,75,77 Hyperthermia and hyperventilation produce increased insensible

water loss, vomiting may promote GI fluid losses, and the solute load caused by

altered glucose metabolism results in an osmotic diuresis. Depending on the patient’s

acid–base balance and net fluid and electrolyte intake and output, serum sodium and

potassium concentrations may be normal, elevated, or decreased. Hypernatremia and

hypokalemia are most common.

73,75

Blood glucose concentration is usually normal or slightly elevated, although

hypoglycemia may accompany chronic salicylism (e.g., as illustrated by A.S.) or

occur late in acute intoxication. CNS glucose levels can be markedly reduced in the

presence of normal blood glucose concentrations because increased CNS glucose

utilization to generate high-energy phosphate exceeds the rate at which glucose can

be supplied.

68,73,75,77

ASSESSMENT OF TOXICITY

CASE 5-2, QUESTION 3: What signs, symptoms, and laboratory values in A.S. are consistent with salicylate

intoxication?

A.S. demonstrates many of the findings typical of severe acute salicylism.

Hyperventilation has resulted from the direct respiratory stimulant effects of

salicylate and as compensation for her metabolic acidosis (PCO2

, 18 mm Hg; pH,

7.14; serum bicarbonate, 9 mEq/L; respiratory rate, 38 breaths/minute). Hypokalemia

(2.8 mEq/L) in the presence of metabolic acidosis represents severe potassium

depletion because of increased renal and possibly GI losses. Hyperpyrexia caused by

salicylate is present in A.S., although an infectious cause must also be considered.

Her neurologic symptoms of lethargy, disorientation, and combativeness, as well as

tinnitus, nausea, and vomiting, are commonly seen in severe salicylate intoxication. In

addition, being elderly and taking a lethal amount of aspirin bodes ill for this

patient’s outcome.

LABORATORY EVALUATION

CASE 5-2, QUESTION 4: What objective evaluations should be assessed in a patient with presumed

salicylate intoxication?

A.S.’s workup illustrates a thorough initial patient evaluation. Laboratory

evaluation should include ABG values, serum electrolytes, BUN, serum creatinine,

blood glucose, and a complete blood cell count.

73,74 Urine should be tested for

specific gravity and pH.

73

In symptomatic patients, a PT or international normalized

ratio (INR) and partial thromboplastin times are useful to assess the presence of

salicylate-induced coagulopathy. Vitals signs should be monitored for an increased

respiratory rate and hyperpyrexia.

74,75 Physical examination should include an

evaluation of chest radiograph, cardiopulmonary and neurologic function, and

measurement of urine output.

75

A salicylate blood concentration should be obtained immediately and every 2

hours in patients.

24,64,73,75 Serum salicylate concentrations should be reassessed every

2 hours to verify that the original concentration represented a peak level and that the

salicylate level is decreasing rather than increasing.

24,68,73,76,78 Obtaining the units of

measurement on salicylate serum concentrations is essential because different

laboratories report concentrations in different units (e.g., mg/dL, mcg/mL, mmol/L).

An incorrect interpretation of the salicylate unit of measurement can result in

overestimates or underestimates of the severity.

24

Manifestations of severe acute salicylism include a variety of neurologic signs and

symptoms: disorientation, irritability, hallucinations, lethargy, stupor, coma, and

seizures.

69,73 Hyperthermia may be marked and can result in the inappropriate

administration of aspirin as an antipyretic. Coagulopathy can occur because of

impaired platelet function, hypoprothrombinemia, reduced factor VII production, and

increased capillary fragility, especially when aspirin is taken chronically.

75–77

Pulmonary edema and acute renal failure also can occur, but the former occurs more

commonly after chronic intoxication.

75,77,78

Chronic salicylism symptoms are similar to acute intoxications. However, patients

with chronic exposures may have fewer GI symptoms, but they generally appear more

ill and have more CNS symptoms.

71,79

In both adults and children, the principal signs

of chronic salicylism are a partially compensated metabolic acidosis, increased

anion gap, ketosis, dehydration, electrolyte loss, hyperventilation, tremors, agitation,

confusion, stupor, memory deficits, renal failure, and seizures.

73,75,76,80 The severity of

CNS manifestations is related to the cerebrospinal fluid (CSF) salicylate

concentration.

74,75 CSF concentrations may increase in the presence of systemic

acidosis because a greater fraction of salicylate is not ionized and can cross the

blood–brain barrier. Therefore, metabolic acidosis is especially dangerous in a

salicylate-intoxicated patient.

73,75

Unless the history of salicylate intake is specifically sought, the problem may not

be immediately apparent, especially in the elderly in whom such findings are likely

to be attributed to other causes (e.g., encephalitis, meningitis, diabetic ketoacidosis,

myocardial infarction).

24,75,79 Delay in diagnosis has been associated with increased

mortality.

24,68,75,79 Unfortunately, plasma salicylate concentrations do not correlate

well with the degree of poisoning in chronically intoxicated patients. It is more

important to treat the patient according to the clinical status rather than his or her

salicylate concentration.

71 Death in patients with salicylism, whether acute or

chronic, results from CNS or cardiac dysfunction, or pulmonary edema.

73,75,79

MANAGEMENT

CASE 5-2, QUESTION 5: What would be a reasonable management plan for A.S.?

Management of salicylate intoxication depends on the degree of acid–base and

electrolyte disturbances.

68,73,75 Activated charcoal is not indicated for A.S. because

the ingestion occurred

p. 69

p. 70

approximately 10 hours ago and she has a somewhat altered mental status.

46 The

risk of aspiration is greater than the value of possibly adsorbing any remaining

aspirin from the GI tract. In addition, A.S. already has symptoms of salicylate

poisoning, indicating that the aspirin has already been absorbed. Others might argue

that if she ingested 95 tablets, some of the drug may still be present in the GI tract and

giving activated charcoal late may bind some of the drug still present. The benefit

versus risk of giving activated charcoal must be assessed. A.S.’s hypokalemia,

acidosis, and hypoglycemia must be corrected, and it is probably best accomplished

through the administration of intravenous (IV) hypotonic saline–dextrose solutions

combined with potassium supplementation. This solution is administered at a rate that

replaces the patient’s deficits and keeps pace with continued losses.

68,73,75–77 Care

should be taken to avoid overzealous fluid therapy, which can predispose the patient

to cerebral or pulmonary edema.

73,77 Administration of an IV dextrose bolus is also

indicated because A.S. is hypoglycemic (60 mg/dL).

73,75–77

Sodium Bicarbonate

It is important to correct A.S.’s acidosis because acidosis will increase CSF

salicylate concentrations.

74,75 Correction of acidosis can be accomplished by adding

sodium bicarbonate to her IV fluids.

68,73–76 A.S.’s serum sodium and potassium

concentrations should be monitored closely as adding potassium to IV fluids will

mostly likely be required.

82 Providing adequate ventilation to prevent respiratory

alkalosis is essential. With a respiratory rate of 36 breaths/minute, placing the patient

on a ventilator to assist with breathing might be considered. However, forced

mechanical ventilation can interfere with the patient’s need to compensate to maintain

the serum pH. Patients on ventilators can become severely acidotic, which can result

in death because of an inability to compensate adequately.

73,83

Seizures

Seizures are not evident in A.S. but can be encountered in cases of severe salicylate

poisoning. Seizures generally carry a poor prognosis and are indicative of severe

salicylate intoxication that requires hemodialysis.

73 Other treatable causes of seizures

(e.g., marked alkalosis, hypoglycemia, hyponatremia) can be present in individuals

such as A.S. and should be ruled out. If seizures occur, benzodiazepines are the drugs

of choice for treatment.

73

Coagulopathy and Hyperthermia

Coagulopathy generally responds to vitamin K1

, which should be given if the PT or

INR is prolonged.

73 GI bleeding or other hemorrhage can occur, but it is not

common.

73,75,76 Mild hyperthermia usually does not require therapy, but cooling fans

and mist may be required for extremely elevated temperatures.

73,77

Pulmonary Edema

Noncardiogenic pulmonary edema commonly occurs in salicylate intoxications,

especially when the overdose is attributable to chronic ingestions.

73,75,78 Pulmonary

edema is associated with a high incidence of neurologic symptoms in patients and

can occur even without fluid overload.

75,78

Increased alveolar capillary membrane

permeability, prostaglandin effects, and a metabolic interaction with platelets

releasing membrane permeability substances are the primary mechanisms for the

cause of pulmonary edema associated with salicylate overdose. Treatment is aimed

at reducing salicylate levels via alkalinization or hemodialysis.

78

Alkalinization

CASE 5-2, QUESTION 6: What measures will enhance salicylate elimination? Which of these may be

indicated in A.S.?

Alkalinization of the urine and hemodialysis can enhance the excretion of

salicylate in overdose situations.

68,74 Hemodialysis is preferred because it can also

correct fluid and electrolyte imbalances.

75,78,79 Sodium bicarbonate is recommended

for alkalinization to increase the arterial pH with the goal of minimizing salicylate

transport into the CNS.

74,75,77

Although large doses of sodium bicarbonate can enhance the renal elimination of

the weak acid and shorten its half-life, this treatment does not favorably influence the

morbidity or mortality of patients with salicylism. Alkalinization with forced fluid

diuresis can also place the patient at risk for sodium and fluid retention, as well as

pulmonary edema if too much fluid is given too quickly.

76,78,79,81 Whether the urine can

be adequately alkalinized (pH >7) in severely intoxicated pediatric patients has been

questioned because of the large acid load that is excreted.

68,73,74 Nevertheless, urine

alkalinization with sodium bicarbonate should be attempted in severely salicylateintoxicated adult patients such as A.S.

Potassium replacement in patients receiving alkalinization is essential.

73,75,77 These

patients may require large amounts of potassium supplementation as a result of renal

wasting of potassium. The risk for pulmonary edema can be minimized if this is done

without forcing fluids.

73,75–77

Hemodialysis should be considered in patients who show progression of severe

salicylate intoxication and seizure activity, renal failure, or plasma salicylate

concentrations in the potentially fatal range.

68,75,76,78,80 Patients with a chronic

exposure, acidosis, or CNS symptoms and those who are elderly or ill are high-risk

patients and should be considered for early dialysis.

75,80 Because A.S. has many of

the risk factors, she is a candidate for emergent hemodialysis.

CLINICAL OUTCOME OF PATIENT A.S.

A repeat salicylate level 6 hours later (18 hours after ingestion) had increased to 95

mg/dL. Her chemistry panel revealed serum sodium, 143 mEq/L; potassium, 2.2

mEq/L; chloride, 99 mEq/L; bicarbonate, 8mEq/L; glucose, 77 mg/dL; creatinine, 4.9

mg/dL; and BUN, 43mg/dL. Her hemoglobin was now 8.4 g/dL with a hematocrit of

23% and a PT of 16.6 seconds. A.S.’s pH on blood gases remained in the 7.2 to 7.3

range. Urinary alkalinization was attempted with a high-dose IV sodium bicarbonate

infusion in an attempt to reach a urine pH of 7.5. However, her urine pH never

increased above pH 5.7. A.S. became fluid overloaded and exhibited dyspnea. She

was placed on a ventilator with worsening of her symptoms. A chest radiograph

showed pulmonary edema. A.S. became confused and agitated, pulling at her IV lines

and trying to get out of bed. Nephrology was consulted to provide emergent

hemodialysis to correct the acidosis, electrolyte abnormalities, and fluid overload.

As the catheter was being placed, the patient had a tonic–clonic seizure. Lorazepam 2

mg IV was administered and the seizure stopped. At this time, the patient was

unresponsive. She had another tonic–clonic seizure, went into respiratory arrest,

coded, and could not be resuscitated.

ASSESSMENT OF IRON INGESTION

Gathering History and Communications

CASE 5-3

QUESTION 1: The babysitter of K.M., a 21-month-old girl, calls the ED because the child is vomiting and

appears to have been playing with an open, unlabeled bottle of green tablets. The child was left alone in her

room for about 20 minutes to take a nap. Why might the consultation with this babysitter be expected to be

more difficult than the consultation in Case 5-1, Question 1?

p. 70

p. 71

In cases of unintentional pediatric ingestions, phone calls to a health care provider,

a health care facility, or a poison control center made by individuals other than the

parent are usually more difficult to manage as the caller is often unable to provide all

patient-specific information needed (e.g., patient weight, chronic medications) to

accurately assess the drug ingestion. Additional information is often needed from a

parent. Nonparent callers also tend to be more upset about an unintentional ingestion

and may have more difficulty than a parent in taking decisive action.

Triage of Call

CASE 5-3, QUESTION 2: Despite additional questioning, K.M.’s babysitter cannot identify the tablets. K.M.

is still vomiting, and the vomitus is green like the color of the tablets. According to the babysitter, K.M. is the

child of a single mother who is not known to have flu or any GI illness at this time. The child’s mother is

currently at work and is not answering her cell phone. What recommendations could be provided to K.M.’s

babysitter at this time?

With this history, the practitioner should consider whether the information

presented by K.M.’s babysitter is consistent with a drug ingestion and whether this

incident is likely to be associated with a significant adverse outcome. Most 2-yearold children experience limited toxicity with unintentional drug ingestions because

the amount of substance actually ingested is usually small.

5,6 Nevertheless, some

substances (e.g., methanol, ethylene glycol, nicotine, caustic substances, camphor,

chloroquine, clonidine, diphenoxylate-atropine, theophylline, oral hypoglycemic

agents, calcium-channel blockers, TCAs, opioids) can produce significant toxicity

even when small amounts are ingested.

6,84,85

Although the history of drug ingestion in K.M. is somewhat vague, the description

of green tablets and green-colored vomitus suggest possible ingestion of iron tablets.

Because this is a possible exposure with a realistic potential for severe toxicity,

K.M. should be brought to the ED for evaluation. Depending on the distance to the

hospital and the anxiety level of the babysitter, the practitioner might want to instruct

the babysitter to call for an ambulance. She should be instructed to bring the green

tablets to the ED along with the child so the tablets can be identified. Other

medications in the house should also be brought to the ED, and the mother should be

contacted.

Substance Identification

CASE 5-3, QUESTION 3: K.M.’s mother has been reached and confirmed that the only green tablets in the

house are her iron supplements. The babysitter was instructed to bring K.M. to the nearest Emergency

Department, and the mother will meet them there. On arrival K.M. is still vomiting but is fully awake and alert

with a heart rate of 122 beats/minute, a respiratory rate of 26 breaths/minute, a rectal temperature of 98.9°F,

and pulse oximetry of 100%. How can the maximal potentialseverity of this ingestion be estimated at this time?

K.M.’s vital signs, when corrected for age, are normal. Attention should now focus

on identifying the ingested substance and the maximal potential severity of the

ingestion. Although this case involves an unknown ingestion, with a possibility of

being a severe case of iron intoxication, the identity of the tablets still has not been

verified. Therefore, K.M. must be carefully assessed, and the ingestion history

reaffirmed.

All solid dosage prescription drugs are required by the US Food and Drug

Administration (FDA) to have identification markings. Reference books (e.g., Facts

and Comparisons,

86 Physicians’ Desk Reference),

87 computerized databases (e.g.,

IDENTIDEX),

88 and the product manufacturers can assist in identifying solid dosage

forms. Websites such as http://www.pharmer.org

89 and http://www.drugs.com90

can also be useful in obtaining drug identification information.

The imprint code markings on the green tablet brought to the ED with K.M. and the

mother’s assistance should be sufficient to correctly identify the medication. Once the

tablet has been identified, the maximal number of tablets ingested should be

estimated.

In K.M.’s case, the bottle containing the green tablets was unlabeled. In most

cases, the label on the medication container can provide information on the identity

and number of tablets dispensed. The date the prescription was obtained, the number

of estimated doses taken, and the number currently remaining in the medication

container can be used to approximate the maximal number of tablets ingested.

K.M’s vital signs and symptoms should be monitored closely to evaluate whether

her clinical status is consistent with expectations based on the suspected ingestion.

Nausea, vomiting, diarrhea, and abdominal pain are common early signs of iron

intoxication.

91–96 The absence of symptoms, especially within a short time after the

presumed ingestion, should not be interpreted as an indication that a poisoning has

not occurred.

91,93–96

Evaluating Severity of Toxicity

CASE 5-3, QUESTION 4: K.M. weighs 24.2 pounds, appears to be in no distress, and has stopped vomiting.

About 25 mL of dark-colored vomitus was recovered, but no tablets are found. The vomitus tested negative for

blood. A maximum of seven tablets was ingested based on the mother’s recall. What degree of toxicity should

be expected in K.M.?

The potential severity of toxicity can be estimated for commonly ingested drugs

such as acetaminophen,

97 salicylates,

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