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11 Cards in this Set

  • Front
  • Back

Indicators of Child Abuse

Inconsistent hx, injury not consistent with developmental age, a delay in seeking tx

Indication of Sexual Abuse

Sexual knowledge above developmental level and seductive behavior

Assessment of Abuse

Be objective in hx documentation, use quotes, interview child separately, take pictures

Risks for Abuse

Parent deficient knowledge r/t developmental milestones, child temperment and parenting styles, and children with disabilities due to burn-out

Blood Lead Levels and Tx

Less than 1.9 = acceptable; 5-19 = environmental inspection, nutrition changes; greater than 20 = medical evaluation; greater than 45 = chelation therapy

Lead screening Age

ALL children 12 to 24 mo

Correctional Lead Level Dietary Changes

MyPlate, high fiber, reduce fat intake, and low fat milk for at least 2 years

Nursing Interventions during Lead chelation therapy

Strict I/O, hydration, neuro/EKGs, Ca+ levels, double nurse med check (chelation agent toxic)

Acetaminophen Poisoning

Hepatic involvement: pain RUQ, jaundice, confusion, stupor, coag and bili level abnormality

Main causes of poisoning

Distracted parents and inadequate safety precautions

Treatment Goal for Poisons

First prevention, then if swallowed, treat ABCs of patient first followed by reversing poison with rescue meds based on ht/wt; do NOT induce vomiting, may lead to aspiration of toxic chemicals into lungs