Rpdwk7- 4-25 Pediatric Poisoning

Front 1

Drug average in household?

Teen poisonings mc?

Back 1

45

2/3 suicide attempts

Front 2

Older patients with poisoning m/f?

Back 2

>13 y/o mostly female
<13 mostly male

Front 3

MCC of substance exposures in pediatric exposures

MCC of substance exposures in adult exposures

Back 3

Cosmetics and personal care products 13.5%

- analgesics- 17.2%

Front 4

MCC fatal poisoning

Back 4

Most Common
• Carbon Monoxide/Smoke Inhalation
• Oxycontin
• Sodium Bicarbonate

Front 5

MC drug cause of death in poisonings

Back 5

Sedative/hypnotics/antipsychotics

Front 6

What three drugs are automatic admissions when suspected poisoning?

Back 6

Beta blockers
Calcium channel antag
Cyclic antidepressant
Sulfonylureas

Front 7

What is type of toxicity in Acetaminophen?
% poisons with antidote?

Back 7

Acetaminophen= hepatotoxicity

only 2%

Front 8

MC complication of poison pt?

Back 8

aspiration

Front 9

5 steps in management in poisons

Back 9

1. Stabilization – ABC’s, prevent aspiration
2. Gut Decontamination- Activated charcoal, gastric lavage, whole bowel irrigation
3. Diagnostic tests – labs, EKG, radiographs
4. Enhance elimination (ie: alkalinization of urine, dialysis)
5. Antidotes

Front 10

For something like eye contamination what do you do?

Back 10

– Irrigate with tap water for 5-20 minutes.
– Pour water from glass held 3 inches from eye

Front 11

#1 decontaminant therapy?

Back 11

- activated charcoal

Front 12

Tylenol overdose what is antidote?

<1 hr ingestion
> 1 hr of ingestion

Back 12

n-acetylcysteine/n-acetylcysteie


<1hr use decontaminant
>1 hr- use something else

Front 13

Syrup of Ipecac use?

Back 13

S.I. should no longer be used routinely as a poison treatment intervention in the home