Aspirin (salicylates) overdose

About Aspirin (salicylates) overdose

Aspirin overdose can occur accidentally or intentionally. There is also an acute form and a chronic form. Chronic overdoses are more common in the elderly.

Symptoms

Abdominal pain, vomiting, confusion, fast heart rate, uncontrollable rapid breathing, ringing in the ears (tinnitus), temporary deafness, dizziness, hyperactivity or drowsiness, seizures, coma.

Tests & Diagnostics

A history and physical exam will be performed. An aspirin level is drawn but can be at a normal level in a chronic overdose. A blood test will be done to measure the acid content of the body and diagnose any possible kidney damage.

Common tests: BHCG, Complete blood count (CBC), Comprehensive metabolic panel (CMP), EKG, Troponin, Urinalysis (UA), X-ray.

Conventional treatment summary

Treatment consists of intravenous fluids, oral charcoal to bind residual aspirin in the gastrointestinal tract, and intravenous sodium bicarbonate if the aspirin blood level is very high. In severe cases dialysis may be needed. For more information and help call your local poison center at 1-800-222-1222.

Medical specialties

Medical Toxicology

This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Aspirin (salicylates) overdose.