the mother discover the case after 45 minutes of leaving the boy alone and 15 tablets were missing from the bottle, no symptoms of iron toxicity ,
the boy act normal ,the boy has no significant past medical history, or allergies ,
the vital sign is norma ,
The question is how much iron this vitamins contains . For example if the contain 30 mg iron as fumarate salt than 15 vitamins contain 540 mg iron fumarate which is equivalent to around 180-200 mg of pure iron established absorption is around 40% that' s mean around 8 mg of pure iron in the system which is the normal daily intake for children from 1 to 3 years old .
So in this case the child discharge from hospital with
no management ?! But what about Kids with 20mg/kg might become symptomatic while others at 50mg/kg were asymptomatic?!
https://www.pharma.us.novartis.com/product/pi/pdf/desferal.pdf
This is the application of Desferal it might be helpful , children should be kept under surveillance couple of days, also vitamin c could be given to enhance iron excretion. Here is one good guideline : http://www.who.int/selection_medicines/committees/expert/18/applications/OralIronChelators.pdf
You are welcome, but im not a doctor yet just Phd student, but thank you :)
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