The patient is a 21-year-old male who presents to your ED with vomiting and dizziness after drinking homemade tea made with leaves and flowers from the plant pictured.

His pulse on arrival is 48 beats/min; blood pressure 80/40mmHg; respiratory rate 28 breaths/min; temperature 98 F and pulse oximetry 97% on room air.

His ECG demonstrates a junctional bradycardia and laboratory data is significant for a serum potassium of 6.2 mEq/L.

What is this flower, and what tox concerns should you have? Discussion on next page