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[Nifedipine poisoning in a child]
Pediatrie (Bucharest, Romania)
|January 1, 1992
Insights
Nifedipine poisoning in a young child was successfully treated with gastric lavage and calcium. Prompt medical intervention led to a full recovery within six hours.
Area of Science:
- Cardiology
- Pediatric Toxicology
Background:
- Nifedipine, a calcium channel blocker, overdose can lead to severe cardiovascular complications in children.
- Accidental ingestion of medications poses a significant risk to pediatric patients.
Observation:
- A 2-year- and 4-month-old boy ingested 150 mg of nifedipine (15 tablets).
- The child presented with symptoms of nifedipine poisoning requiring immediate medical attention.
Findings:
- Medical management included gastric lavage and repeated calcium administration.
- Continuous monitoring of cardiac rhythm, electrocardiography, and blood pressure was performed.
- The patient showed a very good clinical evolution with complete resolution of symptoms within 6 hours.
Implications:
- Early and appropriate medical intervention is crucial for managing nifedipine poisoning in children.
- Gastric lavage and calcium therapy are effective in treating nifedipine overdose.
- This case highlights the importance of medication safety and prompt pediatric emergency care.
Abstract:
The present paper concerns the problem of nifedipine poisoning at a 2-year- [correction of 1-year-] and 4-month-old boy, developed after ingestion of 15 tablets with 150 mg active substance. The medical care was represented by: a) gastric lavage with evacuation of stomach content and b) repeated administration of calcium with permanent monitoring of cardiac rhythm, electrocardiography and blood pressure. The evolution was very good with total disappearance of clinical signs in first 6 hours after admission.