Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Pediatric Poisoning
| Question | Answer |
|---|---|
| 90% of poisoning occurs at__? | HOME |
| At which age has the highest rate of Poisoning cases? | 6 yrs of age |
| At which age is MOST COMMON in poisoning? | ages 2-3 yo |
| 4th Leading cause of death in Toddlers and Preschoolers is __? | Poison ingestion |
| What is a PREVENTABLE mechanism to Poison control? | NEVER tell a child Medicine is Candy |
| WHen a child comes in contact with poison ingestion what is the FIRST INtervention? | CALL Poison COntrol Center FIRST |
| ASSESSMENT: Do you treat poison first or the child first? | CHILD first |
| How do you assess a victim? | ABC.. Airway (Life head to clear airway), Breathing (check to see rise and far of chest), Circulation (check pulse); Vital signs breath odor |
| What is your Nursing Plan Intervention? | -identify poisonous agent quickly -assess ABC -instruct parnet to bring stool emesis -determine child age/weight -tell parent not to induce any emesis(Ipecac) |
| What is you Emergency Management/Treatment to Poisoned child? | -Gastric lavage -Activated Charcoal -Cathartic agent (magnesium citrate, Sorbitol) |
| What is Gastric Lavage? | Stomach pumping; irrigate stomach (rarely used bc it can cause complications/aspirate) |
| What are conditions appropriate for a Gastric Lavage? | 1 hr of ingesting TOxin |
| What is the best method to deactivate Poison in the ER? | Give Activated Charcoal:PO or via NGT |
| What is the dosage amount of administering activated Charcoal? | 1g/kg |
| What are the reactions to activated Charcoal? | Odorless, tasteless, fine black powder -Excreted via bowel over 3 days: stools appear BLACK |
| What can Activated Charcoal be mixed with? What does it resemble after mixing ingredients? | H20, Saline cathartic;Looks like Black Blood; Muddy look. BEST MIXED WITH DIET SODA served with a straw in OPAQUE cup/glass or disposable coffee cup with lid |
| Why is Activated Charcoal mixed with Diet soda? | Bc sugar found in (ice-cream, candy) takes up binding sites. Kicks poison off binding site |
| What are some complication to activated charcoal complications? | -Aspiration, Pneumothorax, Constipation, Intestinal Obstruction (multiple doses) |
| When inserting NG Tube; what is the most RELIABLE indicator of correct placement of tube? | -Checking pH -Scope in abdominal wall |
| What confirms correct placement of NG tube? | -X-ray |
| NURSING IMPLICATION: NG tube is required when pt is ___. | Uncooperative |
| What are some prevention of Recurrence? | -Educate and Prepare parents- Assess all possible contributing factors -Do not refer to medicine as candy |
| AST? | Serum Aspartate Aminotransaminase |
| ALT? | Serum Alanine Aminotransaminase |
| What are the levels Toxicity in children of Acetaminophen (Tylenol)? | More than 150 mcg/kg or double the recommended maximum therapeutic dose of 90 mg/kg |
| Which organ does Acetaminophen primarily effect in the body? | Liver; Hepatic movement |
| What 2 enzymes elevate in the hepatic portal system during Acetaminophen toxicity? | AST (Serum Aspartate Aminotransaminase); ALT (Serum Alanine Aminotransaminase) |
| What medication is the most common accidental poison to children as result of acute ingestion? | Tylenol; acetaminophen |
| LFT | Liver Function Test; Hepatic panal |
| TYLENOL: What happens in Stage 1 post ingestion? | 2-4 hrs; Nausea, Anorexia, Diaphoresis (sweating), palor |
| TYLENOL: What happens in Stage 2 latent period | |
| TYLENOL: what ahppens in stage 3 Hepatic involvement? | -jaundice, pain in Right upper Quadrant (RUQ), Abd. tenderness, Stuporous (state of numbness), confusion |
| TYLENOL: What happens in stage 4/Recovery stage? | -Look at PT/PTT (Coagulation test; takes 7 days as patients can recover |
| What is the treatment for Acetaminophen? | -Parents call Poison control center (PCC) -ER Tx: N-Acetylcysteine (Mucomyst) |
| What does N-Acetylcysteine (Mucomyst) do to body? | Prevents Hepatic Toxicity by binding with the breakdown product of acetaminophen to prevent drug from binding to liver cells |
| How much N-Acetylcysteine (Mucomyst) do you administer? | -Given in PO as loading dose: 140 mg/kg then 17 additional doses (maintenance) of 70 mg/kg q4h |
| What do you dilute N-Acetylcysteine (Mucomyst) into for taste? | Fruit Juice and Cola |
| What does N-Acetylcysteine smell like? | Rotten eggs |
| What are the nursing measures for a hospitalized child after administering Mucomyst? | -continue to observe -screen for LAB: LFT, Tylenol level, PT/PTT, CBC, BUN/Creat, BMP (Basic Metabolic Level of Potassium) |
| BUN/CREAT? | BUN= serum; nething can increase BUN CREATINE= rate of which kidneys function; Glumerula functions) |
| Acetaminophen:What are the therapeutic levels? | 10-30mcg/ml |
| Acetaminophen:What are the toxic levels? | more than 200 mcg/ml |
| ASPIRIN: What is the dosage amount to have Acute ingestion to be poisoned? | Acute: severe toxicity with 300-500 mg/kg days |
| ASPIRIN: What is the dosage amount to have Chronic ingestion to be poisoned? | Chronic: more than 100mg/kg/day for 2 or more |
| ASPRIN: What would you assess if pt is poisoned? | -GI: N/V, thirst(dehydration) -CNS: hypernea (deep n rapid breathing) confusion, tinnitus(ringing or buzzing in ears, convulsions, coma, RF (saliczon: continuous buzzing in ears), circulatory collapse |
| ASPRIN: What would you assess if pt is poisoned? | -Renal: oliguria -Hematopoietic: Bleeding tendencies -Metabolic: Resp. alkalosis as a result of hyperventilation, METABOLIC ACIDOSIS (body filled with acid) Hypokalemia |
| Hypokalemia? | Low K+ levles; NEver give K+ if pt is not urinated thoroughly |
| ASPRIN: TREATMENT | -activated charcoal ASAP -NaHC03 IV to correct METABOLIC ACIDOSIS -Urinary alkalinization to enhance elimination -External cooling |
| ASPRIN: TREATMENT | -urinary alkalinization to enhance elimination -external cooling -02 & ventilation -Vit K for bleeding -Anticoagulants -HEMODIALYSIS: SEVER CASES (Filter out poison) |
Created by:
usmell