Toxic ingestion | Figure 1

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Toxic ingestion
Grandma was taking meds for her type 2 DM, put her gliperimide 4 mg tab on the counter and her 3 yo granddaughter (my patient) grabbed it and swallowed it. Pr arrived at the urgent care clinic an hour later. At home grandmother checked kid's blood glucose, was 114. I looked up the pharmacokinetics while nurse called poison control. They instructed us to transfer to ED to a critical care bed. The ED balked but I had the nurse be VERY FIRM that this patient was going to be in a lot of trouble if they didn't get her seen to right away.

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Also a demonstration of my suspicion that the inability to take pills is a learned behavior.

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