Pediatric Poisoning
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| show | HOME
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| At which age has the highest rate of Poisoning cases? | show 🗑
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| show | ages 2-3 yo
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| 4th Leading cause of death in Toddlers and Preschoolers is __? | show 🗑
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| What is a PREVENTABLE mechanism to Poison control? | show 🗑
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| show | CALL Poison COntrol Center FIRST
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| ASSESSMENT: Do you treat poison first or the child first? | show 🗑
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| show | ABC.. Airway (Life head to clear airway), Breathing (check to see rise and far of chest), Circulation (check pulse);
Vital signs breath odor
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| What is your Nursing Plan Intervention? | show 🗑
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| show | -Gastric lavage
-Activated Charcoal
-Cathartic agent (magnesium citrate, Sorbitol)
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| What is Gastric Lavage? | show 🗑
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| show | 1 hr of ingesting TOxin
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| show | Give Activated Charcoal:PO or via NGT
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| show | 1g/kg
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| show | Odorless, tasteless, fine black powder
-Excreted via bowel over 3 days: stools appear BLACK
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| What can Activated Charcoal be mixed with? What does it resemble after mixing ingredients? | show 🗑
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| show | Bc sugar found in (ice-cream, candy) takes up binding sites. Kicks poison off binding site
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| show | -Aspiration, Pneumothorax, Constipation, Intestinal Obstruction (multiple doses)
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| When inserting NG Tube; what is the most RELIABLE indicator of correct placement of tube? | show 🗑
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| show | -X-ray
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| NURSING IMPLICATION: NG tube is required when pt is ___. | show 🗑
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| What are some prevention of Recurrence? | show 🗑
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| AST? | show 🗑
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| show | Serum Alanine Aminotransaminase
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| show | More than 150 mcg/kg or double the recommended maximum therapeutic dose of 90 mg/kg
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| show | Liver; Hepatic movement
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| show | AST (Serum Aspartate Aminotransaminase);
ALT (Serum Alanine Aminotransaminase)
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| What medication is the most common accidental poison to children as result of acute ingestion? | show 🗑
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| LFT | show 🗑
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| TYLENOL: What happens in Stage 1 post ingestion? | show 🗑
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| TYLENOL: What happens in Stage 2 latent period | show 🗑
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| TYLENOL: what ahppens in stage 3 Hepatic involvement? | show 🗑
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| TYLENOL: What happens in stage 4/Recovery stage? | show 🗑
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| show | -Parents call Poison control center (PCC)
-ER Tx: N-Acetylcysteine (Mucomyst)
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| What does N-Acetylcysteine (Mucomyst) do to body? | show 🗑
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| show | -Given in PO as loading dose: 140 mg/kg then 17 additional doses (maintenance) of 70 mg/kg q4h
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| show | Fruit Juice and Cola
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| show | Rotten eggs
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| What are the nursing measures for a hospitalized child after administering Mucomyst? | show 🗑
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| show | BUN= serum; nething can increase BUN
CREATINE= rate of which kidneys function; Glumerula functions)
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| Acetaminophen:What are the therapeutic levels? | show 🗑
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| Acetaminophen:What are the toxic levels? | show 🗑
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| ASPIRIN: What is the dosage amount to have Acute ingestion to be poisoned? | show 🗑
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| show | Chronic: more than 100mg/kg/day for 2 or more
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| ASPRIN: What would you assess if pt is poisoned? | show 🗑
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| ASPRIN: What would you assess if pt is poisoned? | show 🗑
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| Hypokalemia? | show 🗑
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| show | -activated charcoal ASAP
-NaHC03 IV to correct METABOLIC ACIDOSIS
-Urinary alkalinization to enhance elimination
-External cooling
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| ASPRIN: TREATMENT | show 🗑
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Created by:
usmell