Pediatric toxicological emergencies Flashcards
In addition to normal vitals, what do specific vitals are important?
Blood Glucose and temperature
What is the dose for Narcan?

.01 –.05 mg/kilograms to a max dose of 2 mg for a single dose.
Administer slowly and repeat PRN To a max dose of 10 mg.
In the case of cardiac arrest:
IV/IO – 2 mg 
What are the drugs and routes for suspected TCA overdose?
Do not administer amiodarone!
Sodium bicarb administered for hypotension, arrhythmia, or QRS greater than 100 ms:
IV: 1 meq/ kilogram
Repeat every 5 to 10 minutes at the same dose if signs and symptoms persist
Magnesium sulfate - for torsades refractory to sodium bicarbonate
IV/IO: 25–50 mg per kilogram in 100 mL buretrol over 2 to 5 minutes to a max of 2 g.
What are the drugs, routes, and doses for calcium channel blocker/ beta blocker overdose?
Calcium chloride for calcium channel blocker overdose only:
20 mg/ kilogram over 10 minutes or until signs and symptoms improve.
Glucagon:
IV/IM/SQ 0.1 mg/kilogram to a max of 1 mg every five minutes as needed and as available. Mix with normal saline.
Epinephrine:
.1-2 mcg/kg/min
What are the drugs, routes, and doses for organophosphate poisoning?
Atropine sulfate:
 IV/IO/IM – .05 mg/kilograms until symptoms are resolved
What are excepted drugs, routes, and doses to treat hyperdynamic drug overdose?
Valium:
.1 –.2 mg/kilograms every 5 to 10 minutes to a max dose of 10 mg.
Versed:
IV/IO .1 mg/kg every 5 to 10 minutes over 2 to 5 minutes to a max dose of 2.5 mg
IN/IM: .2 mg/kg to a max dose of 5 mg. Repeat every five minutes PRN
What is the drug for extra Piramidal symptoms?
Benadryl:
IV/IM: 1 mg per kilogram to a max dose of 25 mg
What percentage of pediatric overdoses involve more than one medication? A.k.a. poly pharm overdose is?
44%
What to know about iron ingestions?
They have a latent period of a fact that may not show for 1 to 6 hours, with cardio vascular collapse in 12 to 24 hours. Iron is commonly found in over-the-counter supplements.
