A mother calls the emergency department and says, "My 5-year-old just took four chloroquine (Aralen) that my husband was prescribed because he is going to Africa." What should the nurse advise?
1. "There should be no adverse effects."
2. "Watch your child for nausea or vomiting."
3. "Bring your child to the emergency department immediately."
4. "Call 911 and watch your child for seizure activity until they arrive."
5. "There should be no problem unless your child has kidney disease."
Correct Answer: 3,4
Rationale 1: Overdose of chloroquine is serious.
Rationale 2: Nausea and vomiting is an adverse effect of this medication, but this is not the advice that should be given.
Rationale 3: Overdose of chloroquine may be fatal.
Rationale 4: Convulsions may occur with this drug. The child should be brought to the ED.
Rationale 5: Overdose of chloroquine can be fatal, especially in children.
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