Abstract
A mother brings her 18-month-old, 13-kg child to the emergency department and states that the child drank from a bottle of nicotine refill liquid for electronic cigarettes (e-cigarettes). The child vomited 3 times prior to arrival. The bottle has “18 mg” and “cherry-flavored e-liquid” on the label. Upon physical examination the child is awake but slightly drowsy, her pupils are 5 to 6 mm and reactive, her skin is slightly moist, and some drooling is noted. Vital signs are as follows: blood pressure, 76/52 mm Hg; heart rate, 138 beats per minute; respiratory rate, 36; oxygen saturation, 99%; and oral temperature, 37.1°C (98.7°F). Her lungs are clear. She has no tremors or fasciculations. Cindy Howard is Certified Specialist in Poison Information, Illinois Poison Center, Chicago, IL.
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