Source: Veterinary Practice News

A seven-year-old dog named Nelly survived an extraordinary medical emergency after ingesting multiple human medications and suffering cardiopulmonary arrest. Nelly was brought to DoveLewis Veterinary Emergency & Specialty Hospital in Portland after consuming large amounts of lamotrigine, mirtazapine, dextromethorphan, and bupropion—drugs that can cause seizures, dangerous heart rhythms, and sudden death in dogs. 
Shortly after arrival, she went into cardiac arrest, prompting the emergency team to initiate CPR following RECOVER guidelines. Nelly developed ventricular fibrillation and required defibrillation, with return of spontaneous circulation achieved after 17 minutes of continuous resuscitation. Despite a guarded prognosis, she received intensive post-arrest care including lipid emulsion therapy, antiarrhythmic medication, neuroprotective strategies, and close monitoring. Her neurologic function remained intact, and liver complications were managed medically. Remarkably, Nelly recovered over 48 hours and was discharged home. Her case highlights the life-saving impact of rapid, coordinated Veterinary emergency care.