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“And you’re certain the boys ate them.”
The woman nodded, her eyes frantic with worry. “They were playing doctor. I don’t know what possessed them to take the bottle from my purse. What’s so awful is that I’ve always asked the pharmacy to use snap-on lips instead of the childproof caps for my pills. You see, I live alone and my arthritis makes those lids difficult to open.” She sniffled. “This is all my fault. I should have moved my purse or put my pills in the cupboard where they couldn’t reach.”
“Kids can get into trouble in the blink of an eye,” Sabrina said.
The woman nodded, then squared her shoulders as if drawing on her emotional reserves. “As soon as I saw how many they’d eaten, I brought them straight here. If anything happens to Corey and Casey, I’ll never forgive myself.” Her voice cracked and her lips trembled. “I’m Edith Gilroy, by the way, and I’m watching my grandsons because my son and daughter-in-law are attending a funeral in Oklahoma City.”
“We’ll do everything we can,” Sabrina told the trio as she began taking vital signs, noting the absence of any abnormalities.
“They look so healthy. Maybe those pills won’t hurt them?” Edith asked hopefully.
“They will, I’m afraid. An overdose of digoxin will produce cardiac toxicity which manifests itself in a number of ways, depending on the amount ingested. If we can get those pills out of their system before the drug is absorbed, they’ll be fine.”
Sabrina watched the two closely for the less serious symptoms of nausea, vomiting and a headache, hoping they could prevent the more severe ventricular tachycardia or fibrillation. So far, these two looked more scared than ill, although the time for symptoms to develop could be anywhere from thirty minutes to hours. Regardless, those pills had to be removed. By the time these two went home, they would never play doctor with their grandmother’s medicine again.
“Should I have just gone to the drug store and given them syrup of ipecac?” Edith asked.
“No,” Sabrina told her. “Vomiting can make any abnormal heart rhythms worse, which is why in cases of digoxin poisonings we often do a procedure called a lavage where we rinse out their stomach contents with fluids. Then we give activated charcoal to adsorb any of the drug that may have gotten into the bowel.”
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