CPEN TEST EXAM 2023/2024 WITH 100% CORRECT ANSWERS

Peds Assessment Triangle - correct answer Apperance, WOB, and circulation No touch 3 S's - correct answer Sick: nothing abmornal Sicker: acute disruption Sickest: 2 or more disruptions Urgent vs. Emergent - correct answer U: need care within 24 hrs E: threats to life, limb, or eyesight 4 components of Peds Triage - correct answer PAT, initial assessment, triage hx, acuity Gastric Lavage - correct answer Needs to be done within 1 hr Helpful if med slow gastric motility Iron Ingestion Tricyclic Activated Charcoal - correct answer Within 1hr 1gm/kg Will not absorb alcohols, hydrocarbons, caustics, or heavy metals Whole bowel Irrigation - correct answer Golytely For iron, lead, sustained release Acetaminophen Ingestion - correct answer 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 - correct answer Remove immediately, fatal tissue injury Methanol - correct answer 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 - correct answer Rubbing alcohol, hand sanitizer Absorbed by the GI tract, excreted by kidney, metabolized by liver Ethanol - correct answer alcoholic beverages, perfumes, mouthwash hypoglycemia Is the antidote for ethylene glycol and methanol CNS depression Ethylene glycol - correct answer 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 - correct answer 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 - correct answer small amt lethal Decontaminate GI Monitor, Ca Chloride supplement, glucagon to increase HR, insulin Digitalis - correct answer Dysrhythmia, N/V, halos, increased K, brady, dec BP Anti