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Information Journal Paper

Title

Clonidine Poisoning in A Child-A case report

Pages

  33-34

Abstract

 Introduction: Clonidine is among the drugs that are in a list of ‘ one pill can kill’ drugs. We are reporting a child with Clonidine Toxicity with classical manifestations who recovered completely. Case Report: A 3 year and 2 months old ADHD girl presented with Drowsiness for 30 minutes. Her mother gave the history of accidental consumption of 3/4th Clonidine 100 mcg tablet 45 minutes prior. On the examination, the child was drowsy with Glasgow Coma Score (GCS) 12/15. Her heart rate was 82 /minute with low volume pulse, respiratory rate 22 /minute, systolic blood pressure was 80 mm of Hg, and diastolic BP was not recordable. Immediately normal saline bolus was administered and her pulse volume improved and BP was 94/60 mm of Hg. After an hour, GCS was 9/15 and the respiration was shallow. After 4 hours, her sensorium improved (GCS 15/15). By 6 hours of ingestion, the child showed complete recovery. Discussion: Most of the Clonidine poisoning children were younger than 6 years according to the NSWPIC database. Among them, 60% developed symptoms, most commonly lethargy (80%), bradycardia (17%), Hypotension (15%), and Respiratory Depression (5%). Symptoms usually develop within 30-60 minutes and resolve within 24-48 hours. In our case, classical symptoms like Drowsiness, Hypotension, meiosis occurred within 30 minutes of ingestion and her consciousness deteriorated along with shallow respiration by the next 2 hours. By 6 hours of ingestion, the child showed complete recovery. Conclusion: While prescribing Clonidine caution should be exercised regarding the side-effects. When calculating the dose, extra vigilance should be ensured and drug needs to be kept out of the reach of children.

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    APA: Copy

    JAGADISH KUMAR, K., RAMESH, SNEHA, ROSHAN, MOHAMMED, & KRISHNA KUMAR, h.c.. (2021). Clonidine Poisoning in A Child-A case report. ASIA PACIFIC JOURNAL OF MEDICAL TOXICOLOGY (APJMT), 10(1), 33-34. SID. https://sid.ir/paper/668308/en

    Vancouver: Copy

    JAGADISH KUMAR K., RAMESH SNEHA, ROSHAN MOHAMMED, KRISHNA KUMAR h.c.. Clonidine Poisoning in A Child-A case report. ASIA PACIFIC JOURNAL OF MEDICAL TOXICOLOGY (APJMT)[Internet]. 2021;10(1):33-34. Available from: https://sid.ir/paper/668308/en

    IEEE: Copy

    K. JAGADISH KUMAR, SNEHA RAMESH, MOHAMMED ROSHAN, and h.c. KRISHNA KUMAR, “Clonidine Poisoning in A Child-A case report,” ASIA PACIFIC JOURNAL OF MEDICAL TOXICOLOGY (APJMT), vol. 10, no. 1, pp. 33–34, 2021, [Online]. Available: https://sid.ir/paper/668308/en

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