CPEN TEST Q & A SOLVED 100% CORRECT!!GRADED A+

CPEN TEST Q & A SOLVED 100% CORRECT!!GRADED A+ Peds Assessment Triangle Apperance, WOB, and circulation No touch 3 S's Sick: nothing abmornal Sicker: acute disruption Sickest: 2 or more disruptions Urgent vs. Emergent U: need care within 24 hrs E: threats to life, limb, or eyesight 4 components of Peds Triage PAT, initial assessment, triage hx, acuity Gastric Lavage Needs to be done within 1 hr Helpful if med slow gastric motility Iron Ingestion Tricyclic Activated Charcoal Within 1hr 1gm/kg Will not absorb alcohols, hydrocarbons, caustics, or heavy metals Whole bowel Irrigation Golytely For iron, lead, sustained release Acetaminophen Ingestion Liver damage St.1: 12-24 hr- vague, N/V, anorexia, pallor St.2: 1-4 days, latent St.3: 72-96 hr hepatic necrosis St.4: 7-8 days worse or better 4 hr level, Acetodote Disc Batteries Remove immediately, fatal tissue injury Methanol Windshield washer fld, gas additives GI, CNS, and ocular: acidosis and CNS depression Formic Acid damages optic nerve Give Antidote: formepizole or ethanol inhibitors Isopropyl Alcohol Rubbing alcohol, hand sanitizer Absorbed by the GI tract, excreted by kidney, metabolized by liver Ethanol alcoholic beverages, perfumes, mouthwash hypoglycemia Is the antidote for ethylene glycol and methanol CNS depression Ethylene glycol Antifreeze and deicer GI, CNS, renal effects, acidosis Can develop sx after 12 hrs Renal failure causes by calcium oxalate crystals in urine(occlude kidneys) Give bicarb, antidote: formepizole, ethanol, pyridoxine Tricyclic Any amt toxic to a child CNS and cardiac problems(wide QRS), hypotension, anticholinergic symptoms Bicarb for cardiac toxicity, lidocaine to prevent vent. dysrhythmias, benzos for sx Ca Channel Blockers small amt lethal Decontaminate GI Monitor, Ca Chloride supplement, glucagon to increase HR, insulin Digitalis Dysrhythmia, N/V, halos, increased K, brady, dec BP Antidote: Dig Fab binds to to dig Lomotil Mixture opioid and atropine-toxic Delayed absorption Lasts 24 hr 1 pill can be toxic Hydrofluoric acid Call PC rust removers, glass etch causes local and systemic toxicity Irrigate, watch Ca levels, hard to control pain Opioids