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HERO ID
3810075
Reference Type
Journal Article
Subtype
Review
Title
Prolonged hypocalcemia refractory to calcium gluconate after ammonium bifluoride ingestion in a pediatric patient
Author(s)
Maddry, JK; Kester, A; Heard, K
Year
2017
Is Peer Reviewed?
Yes
Journal
American Journal of Emergency Medicine
ISSN:
0735-6757
EISSN:
1532-8171
Publisher
Elsevier Limited
Volume
35
Issue
2
Page Numbers
378.e1-378.e2
Language
English
PMID
27609122
DOI
10.1016/j.ajem.2016.08.028
Web of Science Id
MEDLINE:27609122
Abstract
In this case report, a 2-year-old girl ingested "a couple of fingers full" of Armor Etch glass etching cream (21%-27% ammonium bifluoride) and was taken to the emergency department after 5 episodes of vomiting within an hour of ingestion. Upon arrival to the emergency department (ED) 2 hours after the time of ingestion, the patient was no longer vomiting, and had normal vital signs, a normal physical examination, normal electrocardiogram finding, and an ionized calcium level of 1.21 mmol/L (reference range, 1.24-1.40 mmol/L). The patient did not have a history of vitamin D deficiency, renal failure, or the consumption of other xenobiotics known to cause hypokalemia.
Keywords
Vitamin D; Hands; Rodents; Poisons; Pediatrics; Calcium; Milk; Patients; Laboratories; Fluorides; Vomiting; Etching
Tags
OPPT
•
Gluconates
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