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18 Cards in this Set
- Front
- Back
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From 95-97 in KC, MO what was the number 1 reason for injury hospitalizations of children aged 0-4
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Poisonings
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From 88-94 what was the age group that was most affected by posinings leading to a hospital visit?
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0-5 (63%)
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From 88-94 what was the number one CMH Toxicology admission?
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multiple drugs or chemicals
(followed by anticonvulsants) |
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What substance is most frequently involved in pediatric exposure to a poison?
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**Cosmetics and personal care products
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Substance most frequently involved in adult exposure to a poison?
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Analgesics
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**Drugs most likley to cause death in children under 6?
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1.ANTIDEPRESSANTS
2.Cardiovascualr drugs 3.carbon monoxide 4.Iron 5.opiods 6.salicylates |
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**4 important Drugs that can kill a toddler in 1 or 2 doses? Even if you only suspect they might have taken one of these they get an automatic admission to the hospital!
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1. CALCIUM ANTAGONIST
2. Beta-blockers 3. Cyclic antidepressants 4. Sufonylureas |
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Diagnosis of poisoning
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difficult, sometimes you get "toxidrome" symptoms but most of the time you don't. Always consider it in any puzzling case
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supportive care for a poisoning?
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1. ABC's
2. Decontamination 3. Elimination 4. Family 5. specific antidote |
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#1 complication of GI decontamination
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Aspiration
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What is the first aid or immediate tx in the follwing situations:
1. Eye contamination 2.Skin and/or clothes contamination 3.Fume or gas inhalation 4.Corrosive ingestion |
1.irrigate for 5-20min
2.remove clothing and irrigate 3.remove person from site 4.Drink milk or water to rinse/dilute/demulcent |
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**What are the Therapies for poison exposure (3 main classes w/ subgroups)?
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1.Decontamination
a.Gastric lavage b.Activated charcoal c.Whole bowel irrigation d.Dilution/irrigation - skin/eyes 2.Enhance elimination a.Extracorporeal procedures b.Alkalinization c.Adequate urine output (Ipecac and cathartics not recommended) 3.Specific antidotes |
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**What is the Tx for acetaminophen overdose?
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N-acetylcystine orally and IV
blocks the 3rd pathway that damages the liver |
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Ipecac is being replaced/preferred in ER by...
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Activated charcoal
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When is gastric lavage indicated?
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If the ingested poision is life-threatening and the preocedure can be done w/in 60 min of ingestion
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What is the number one decontaminant used?
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Activated charcoal
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When do you alkalinize the urine
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salicylate poisoning, to increasae elimination
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poison control number
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1-800-222-1222
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