Emergency Medicine Case of the Week

Case #13   -- Ibuprofen Toxicity

Learning Objectives

After reviewing this case you will be able to:
  • Institute proper emergency treatments for ibuprofen toxicity
  • Understand the GI and kidney complications that occur in these cases
  • Know how to prevent/treat these complications

Case Presentation by:  Carl Prior and Duane Hunt

Patient Profile: "Thompson", a 5-month old, castrated male Labrador Retriever.

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History: "Thompson" presented to the emergency service on 11/18.   His owner came home to find him vomiting.  He had eaten a bottle of ibuprofen.   The owner was unsure of how many pills were left in the bottle but all were gone now.  "Thompson" was shaking and drooling, had droopy eyes and was ataxic.

Physical Examination:  Heart rate = 88/minute.  Pulse rate = 88/minute.  Respiratory rate = 60 breaths/minute.  Body weight = 20 kg. "Thompson" was depressed and ataxic. Capillary refill time and hydration status were normal.  There were no apparent murmurs or pulse deficits.   Abdominal palpation was normal.  Chest ausculted normally.

Laboratory Findings:  Glucose = 133 mg/dL.  Phosphorous = 7.0 mg/dL.  Potassium = 3.7 meq/L.

Questions:

Answers and Discussion:

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Copyright Wayne E. Wingfield, DVM and Brenda McClelland, DVM, Colorado State University, 2000. All rights reserved.
This page was last edited:  03/01/00