My 25lb 2 year old swallowed 1/4 tube of .25% fluoride toothpaste. other than giving milk and watching for gi symptoms, is there anything i should do?

Fluoride: Because Fluoride ingestion may lead to serious gastric upset as well as a host of effects like low calcium, high potassium, nausea, vomiting, increased salivation, seizures (due to low calcium &/or magnesium) and worse (with severe poisoning), it's best to have the child seen in an er where vital signs & electrolytes can be monitored & treatment instituted.

Poison Control: With any ingestion, i often call the poison control center in las vegas. They are staffed by very well trained individuals who have access to a computer system which usually can identify all the ingredients which are in the substance ingested. As a patient, you can call your local poison control center yourself. Poison control centers are one of the best investments of your taxpayer dollars!

You are OK: Short term - you have addressed this problem properly, there should be no future problems related to this incident. Long term - children should use a non-fluoridated infant toothpaste until they are capable of reliably rinsing and spitting. Adults and older children only need a pea sized amount of a Fluoride toothpaste.