Pediatric Toxicology Flashcards

(28 cards)

1
Q

Children < __ years old make up 46% of cases

A

6

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2
Q

Which age group has highest accident rate?

a. 0-6 months
b. 7-12 months
c. 1-3 years

A

c. 1-3 years

begin to imitate parents and other adults

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3
Q

What is the Poison Center phone number?

A

1-800-222-1222

nurses and pharmacist who are poison experts will answer your call

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4
Q

You should always call the Poison Center in an emergency

a. true
b. false

A

a. true

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5
Q

Give __ or __ right away if child swallows chemicals or household products

A

milk, water

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6
Q

Give milk or water right away if child swallows medicines

a. true
b. false

A

b. false

if child swallows chemicals/household products

if medicines do not give anything until you talk with poison control or doctor

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7
Q

If a child is taken to the hospital it is important to call the parent at __ and __ hours after ingestion

A

1, 4

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8
Q

Prevention of absorption:

___ does not improve outcome and should be avoided

a. emesis/lavage
b. charcoal
c. catharsis
d. whole bowel lavage

A

c. catharsis

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9
Q

Enhancement of Excretion:

If Pia is less than ___ urinary alkalization is appropriate

A

7.5

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10
Q

Enhancement of Excretion:

If the pKa is over __ urinary alkalinization is not usually beneficial

A

8

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11
Q

In 2007 manufacturers voluntarily removed preparations intended for use in children younger than __ from the market

A

4

antihistamine
antitussive
expectorant
decongestant

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12
Q

___ is given to control seizures/agitation of cough and cold preparation toxicity

a. benzos
b. physostigmine
c. NS and vasopressors
d. sodium bicarb

A

a. benzos

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13
Q

___ is given to reverse the central and peripheral anticholinergic effects of antihistamines

A

physostigmine

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14
Q

___ is used if there is QRS widening with cough/cold preparation toxicity

A

sodium bicarb

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15
Q

___ is given to treat cardiac dysrhythmias and hypotension associated cough and cold preparations

a. benzos
b. physostigmine
c. NS and vasopressors
d. sodium bicarb

A

c. NS and vasopressors

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16
Q

Cosmetics:

Which is high toxicity?

a. permanent wave neutralizers
b. fingernail polish
c. perfume
d. liquid makeup

A

a. permanent wave neutralizers

17
Q

Disk shaped button batteries may be come trapped and lead to ___ injury

A

caustic

esophageal perf or fistula formation

use radiographs of entire respiratory and GI tract to locate

18
Q

Disk shaped button batteries:

Must be removed immediately

a. located in the esophagus
b. located below the esophagus

A

a. located in the esophagus

located below esophagus = rarely associated with tissue damage, and the course is benign in most cases

19
Q

Disk shaped button batteries

If ___ measure levels of heavy metals

a. symptomatic patients
b. battery has opened
c. a and b

20
Q

___ typically cause local irritation but can lead to more severe Sx including corneal injuries, CNS depression, and respiratory distress

a. soaps
b. detergents

A

b. detergents

21
Q

Activated charcoal should be used for ___ detergent toxicity

a. anionic
b. cationic
c. nonionic

22
Q

Milk or water should be used for __ detergent toxicity

a. anionic
b. cationic
c. nonionic

A

a. anionic

d/c
replace fluids and electrolytes
dilute with water or milk

23
Q

Anticonvulsants may be needed with __ detergent toxicity

a. anionic
b. cationic
c. nonionic

24
Q

___ detergents have minimal irritating effect on skin and are almost always nontoxic when swallowed

a. anionic
b. cationic
c. nonionic

25
What diarrhea drug is toxic in small quantity and can cause delayed toxicity?
diphenoxylate and atropine (Lomotil)
26
What diabetic drug class is toxic in small quantity and can cause delayed toxicity?
sulfonylureas
27
With delayed toxicity admit for observation and monitoring only if symptomatic a. true b. false
b. false even if asymptomatic symptoms presenting as much as 24hrs after ingestion
28
4 factors that affect poison exposure in pediatrics?
shorter stature higher minute ventilation physical immaturity large BSA to weight ratio