Citation

Sharma N, Hall A, Holden A. J. Intensive Care Soc. 2011; 12(3): 234-237.

Copyright

(Copyright © 2011, SAGE Publishing)

DOI

10.1177/175114371101200311

PMID

unavailable

Abstract

A 27-year-old woman died within 48 hours of an overdose of ferrous sulphate, co-dydramol and non-steroidal anti-inflammatory drugs (NSAIDs) from shock secondary to acute liver failure. Her serum iron level at five hours post-ingestion was lower than that of many non-fatal, pure ferrous sulphate overdoses in published studies. This case highlights the importance of knowing the signs, symptoms and prognostication of ferrous sulphate toxicity and appreciation of the cumulative fatal effects of polypharmacy overdose.© The Intensive Care Society 2011.

Language: en

Keywords

adult; human; female; prognosis; shock; case report; Overdose; abdominal pain; liver failure; depression; suicide attempt; drug overdose; article; vomiting; smoking; paracetamol; electrolyte; nonsteroid antiinflammatory agent; drug fatality; nausea; hypotension; ferrous sulfate; alanine aminotransferase; liver toxicity; acetylcysteine; bicarbonate; electrocardiogram; sodium; sodium blood level; creatinine; creatinine blood level; potassium; potassium blood level; deferoxamine; calcium; phosphate; thorax radiography; sinus tachycardia; lactate blood level; omeprazole; hemoglobin; blood cell count; arterial gas; bilirubin; bilirubin blood level; hemoglobin blood level; thrombocyte; alanine aminotransferase blood level; codydramol; fluid resuscitation; liver function; iron blood level; Hepatotoxicity; hematemesis; lactic acid; bicarbonate blood level; acute liver failure; Co-dydramol; defecation habit; Ferrous sulphate; Nsaids