Article ; Online: Intoxication pédiatrique sévère avec une faible dose de clonidine : à propos d'un cas.
Archives de pediatrie : organe officiel de la Societe francaise de pediatrie
2014 Volume 21, Issue 11, Page(s) 1213–1215
Abstract: Clonidine poisoning's clinical feature is well documented in the medical literature, but the minimal toxic dose has not yet been established. The effectiveness of naloxone is also controversial. The authors describe a clonidine overdose in a 9-year-old ... ...
Title translation | Clonidine poisoning in a child: a case report. |
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Abstract | Clonidine poisoning's clinical feature is well documented in the medical literature, but the minimal toxic dose has not yet been established. The effectiveness of naloxone is also controversial. The authors describe a clonidine overdose in a 9-year-old boy (25 kg) during a growth hormone test: he received tenfold the prescribed clonidine dose (0.23 mg instead of 0.023 mg) with 6.2 mg betaxolol. About 40 min later, he became drowsy and then complained of low blood pressure, bradycardia, and myosis. By maintaining the Trendelenburg position, administering fluids as well as salbutamol and naloxone (three doses of 0.2 mg were required), he recovered and was discharged from the hospital on day 2. The minimal clonidine toxic dose, the clinical picture, and the effectiveness of naloxone administration are discussed in this paper. |
MeSH term(s) | Adrenergic alpha-2 Receptor Agonists/poisoning ; Albuterol/administration & dosage ; Antihypertensive Agents/poisoning ; Betaxolol/administration & dosage ; Betaxolol/poisoning ; Blood Pressure/drug effects ; Child ; Clonidine/administration & dosage ; Clonidine/poisoning ; Combined Modality Therapy ; Dose-Response Relationship, Drug ; Drug Overdose/diagnosis ; Drug Overdose/drug therapy ; Drug Therapy, Combination ; Heart Rate/drug effects ; Humans ; Male ; Medication Errors ; Naloxone/administration & dosage |
Chemical Substances | Adrenergic alpha-2 Receptor Agonists ; Antihypertensive Agents ; Naloxone (36B82AMQ7N) ; Clonidine (MN3L5RMN02) ; Betaxolol (O0ZR1R6RZ2) ; Albuterol (QF8SVZ843E) |
Language | French |
Publishing date | 2014-11 |
Publishing country | France |
Document type | Case Reports ; English Abstract ; Journal Article |
ZDB-ID | 1181947-9 |
ISSN | 1769-664X ; 0929-693X |
ISSN (online) | 1769-664X |
ISSN | 0929-693X |
DOI | 10.1016/j.arcped.2014.07.014 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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