It-Peds-Lead Poisonings

Front 1

Nursing Assessment:

Child found near source of poison.

Back 1

1. G. I. disturbance: nausea, abdominal pain,

diarrhea, vomiting.

2. Burns of mouth & pharynx.

3. Respiratory distress, cyanosis, shock.

4. Seizures, Changes in level of consciousness

Front 2

Nursing Diagnosis

Back 2

1. Risk of poisoning

2. Deficient knowledge of home safety

Front 3

Nursing Interventions

Back 3

1. Identify poison, child's age & weight.

2. Assess child's respiratory, cardiac, &

neurologic status.

3. Poison removal & care may require gastric lavage, activated charcoal or narcan.

3. Teach home safety.

Front 4

Lead poisoning:

Children younger than 6.

Back 4

The blood lead level test & the Erythrocyte protoporphyrin test are used for screening &

diagnosis.

Lead can affect any part of the body, but the renal, neurologic, & hematologic systems are most seriously affected.

Front 5

Lead Poisoning signs

Back 5

1. Anemia, Acute abdominal pain.

2. Vomiting, Constipation

3. Anorexia, headache.

4. Lethargy, Impaired growth.

Front 6

Physical Assessment:

Central Nervous system early signs

Back 6

1. Hyperactivity, Aggression.

2. Impulsiveness, Decreased interest in play.

3. Irritability, Short attention.

4. Mental retardation, Paralysis.

5. Blindness, Convulsions.

6. Coma, Death

Front 7

Nursing Diagnosis, Analysis

Back 7

1. Risk for poisoning related to

2. Interrupted family processes related to

3. Risk for injury related to

Front 8

Interventions:

1. Administer prescribed chelating agents to reduce high blood lead levels

Back 8

2. Child allergic to peanuts? Do not givedimercaprol, D-penicillamine, or calcium disodium E D T A.

3. Avoid giving iron during chelation because of possible interactive effects.

4. Administer prescribed cleansing enemas or cathartic for acute lead ingestion.