Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
55 Cards in this Set
- Front
- Back
|
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
|
