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55 Cards in this Set

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acute poisoning: what labs to order?
1.pulse ox
2.glucose
3.ecg
4.BMP
5.VBG
6.blood, urine tox
acute poisoning: 1st step for parent
call 911 for local poison center
iron poisoning: tx
deferoxamine
insecticide poisoning: tx
atropine -> pralidoxime
ethanol poisoning: tx
supportive (glucose, IVF)
gastric lavage: best if when?
1st hour or for slowing gastric emptying (asa, TCA)
activated charcoal: mechanism
minimizes absorption
1.binds substance
2.hastens elimination
activated charcoal: not effective against...
1.alcohol
2.hydrocarbons
3.lithium
4.iron
opiate poisoning: Tx
naloxone
acetaminophen poisoning: lab studies
1.serum acetaminophen levels
2.LFTs
3.PT
acetaminophen poisoning: antidote
oral n-acetyl cysteine (most effective w/in 8 hrs of ingestion)
acetaminophen poisoning: tx
1.gastric emptying (w/in 1 hr)
2.activated charcoal (w/in 4 hrs)
mad as a hatter
red as a beet
dry as a bone
hot as a hare

dx?
antihistamine poisoning
mad as a hatter
red as a beet
dry as a bone
hot as a hare

tx?
gastric emptying (early)
activated charcoal
whole bowel irrigation
cardiorespiratory support
seizure control
mad as a hatter
red as a beet
dry as a bone
hot as a hare

antidote?
physostigmine
n/v + tinnitus + agitation + seizures

dx? tx? antidote?
aspirin poisoning

gastric emptying/activated charcoal, fluid/lyte management, hemodialysis (severe)

no antidote
n/v + diarrhea + GI blood loss + liver failure + seizures + shock + coma

dx? tx?
iron poisioning

gastric lavage (early)
whole bowel irrigation, dialysis (late, severe)
primary source of lead today
lead-paint in buildings before 1950
lead poisoning: x levels
> 20 ug/dl
intermittent abdominal pain + constipation + intermittent vomiting + irritability + hyperactivity

dx?
lead poisoning
most serious complication of lead poisoning
acute encephalopathy
increased intracranial pressure
vomiting
ataxia
confusion
seizures
coma

dx?
lead poisoning -> acute encephalopathy
lead poisoning: most effective therapy
poison removal
all elevated lead blood tests: need to be confirmed via...
venous sample (before tx)
asx lead poisoning children: need restesting when?
q1-3 months
lead poisoning: diet recommendations
increase iron + calcium intake
lead 45-69 ug/dl: management

lead >70 ug/dl: management
1.immediate removal
2.chelation (IV EDTA, PO succimer)

IV EDTA + IM dimercaprol
T/F: chelation must be completed in a lead-free environment
true
lead screening: at what age?
12, 24 months (age 1, 2)
when can children ride facing forward?
1.>20 lbs
and
2.age 1 or older
booster seat for...?
age 8-12
accidental injury most associated with death in children
head trauma
most common site of drowning in age 1, toddlers?
age 1 - bathtub
toddlers - residential pools
drowning: reliable predictors of outcome
1.water temp
2.submersion time
3.aspiration?
4.early resus efforts good?
drowning pts: all require serial...?
for 24 hrs...
1.CXR
2.ABG
T/F: children have symmetrical bronchial angles
true (no favoring of R side)
most common aspirated item
nuts
foreign body aspiration: sx
1.wheezing
2.respiratory distress
3.one side auscultation
4.choking, coughing
5.recurrent focal pna/abscess (chronic aspiration)
foreign body aspiration: tx of choice
rigid bronchoscopy
significant 1-sided atelectasis: consider...?
foreign body aspiration
types of burn injuries
1.scald
2.contact
3.flame
4.electrical
5.chemical
scald burns w/straight lines: suggests...
abuse
flame burns: high mortality rate b/c...
smoke inhalation injury
red, dry, tender skin w/o blisters: burn type?
1st degree
burn injury w/intact appendages
2nd degree
burn into subq tissue + nontender
3rd degree
burn injury: immediate tx
lukewarm water
or
covered w/wet gauze
2 most successful preventative measure for burn injuries
1.smoke detectors
2.decrease water heater settings
most abused children: age?
age < 1 yr
neglect/abuse causes more deaths?
neglect
most common cause of FTT in developed nations
neglect
T/F: growth parameters stunted in abused children
true
shaken baby syndrome: sx
1.intracranial bleeding
2.diffuse axonal injury
3.retinal hemorrhages
intracranial injury + no major trauma = ?
pathognomonic of abuse
T/F: home apnea monitors decreased the likelihood of SIDS
false