NU 308 Poisonings Bushey Test
With Complete Solution
When it comes to poisonings, what type of children are at a higher risk for
getting in that type of situation? - ANSWER -Ages <6 and under (esp.
crawling - 2 years old)
-Adolescents
-History of prior episodes
Adolescents can be at a higher risk d/t intentional drug use or suicide
attempts.
What are some common substances that are problematic among
adolescents? - ANSWER -Alcohol
-Prescription (narcotic) drugs
-Bath Salts
-Inhaled aerosols
-Marijuana
What are some common poisons/substances that can be problematic for
younger children? - ANSWER -Batteries
-Household Cleaning Supplies
-Plants
,-Cosmetics
-Medications
What characteristic of children in general also make them at a higher risk for
poisonings? - ANSWER -Increased curiosity
-Decreased taste discrimination
-Lack of Awareness of Danger
The increased curiosity of children is particularly seen in ____________ because
they are developing ________________. - ANSWER Toddlers; autonomy
*toddlers need supervised closely, things like watching their parents take
morning vitamins can be potentially dangerous if unsupervised
Children also tend to explore their environment ________. - ANSWER Orally
90% of poisoning related accidents happen in the... and 1/3 of those
accidents happen in the... - ANSWER Home; kitchen
What Is the go to type of treatment for poisonings? - ANSWER Gastric
Decontamination/Gastric Lavage
,First, we will try gastric Decontamination via... if they are within the window
of time. - ANSWER Activated Charcoal
Activated Charcoal is a... - ANSWER Odorless, tasteless black powder that can
be mixed into water/juice/diet soda/chocolate milk that binds to the poison
in the body/absorbs it
After Activated Charcoal binds to the poison, it then pulls it out via the... -
ANSWER GI tract/Stool
When giving Activated Charcoal, d/t the color, it is recommended to give it
how? - ANSWER In an opaque cup with a lid and straw
*the color alone can discourage kids from drinking it
However, Activated Charcoal must be given within how long of ingestion of
the poison for it be effective? - ANSWER Within 1 hour
Now, if the child is already experiencing.... Activated Charcoal cannot be
given orally any longer. - ANSWER Seizures or decreased LOC
, Despite the seizures and decreased LOC, Activated Charcoal can still be
helpful but must be given how? - ANSWER Via an NG tube with a cuffed ETT
If the NG tube is to deliver the Activated Charcoal to the stomach, why is a
cuffed ETT also placed? - ANSWER To protect them from the risk of
aspirating
-Activated Charcoal is extremely harmful to the airway/lungs
When a pt has receiving Activated Charcoal, it is important to monitor for
what SE? - ANSWER Constipation
Constipation is common with kids receiving Activated Charcoal because... -
ANSWER In the process of binding to the poison and pulling out of the body,
it also pulls out water
*potentially causing constipation or even a bowel obstruction
In what instances would Activated Charcoal be contraindicated? - ANSWER If
the child already has an active ileus
If you are in an emergent situation, what is one way to help detect if the child
has an active ileus quickly pricing to administering Activated Charcoal? -
With Complete Solution
When it comes to poisonings, what type of children are at a higher risk for
getting in that type of situation? - ANSWER -Ages <6 and under (esp.
crawling - 2 years old)
-Adolescents
-History of prior episodes
Adolescents can be at a higher risk d/t intentional drug use or suicide
attempts.
What are some common substances that are problematic among
adolescents? - ANSWER -Alcohol
-Prescription (narcotic) drugs
-Bath Salts
-Inhaled aerosols
-Marijuana
What are some common poisons/substances that can be problematic for
younger children? - ANSWER -Batteries
-Household Cleaning Supplies
-Plants
,-Cosmetics
-Medications
What characteristic of children in general also make them at a higher risk for
poisonings? - ANSWER -Increased curiosity
-Decreased taste discrimination
-Lack of Awareness of Danger
The increased curiosity of children is particularly seen in ____________ because
they are developing ________________. - ANSWER Toddlers; autonomy
*toddlers need supervised closely, things like watching their parents take
morning vitamins can be potentially dangerous if unsupervised
Children also tend to explore their environment ________. - ANSWER Orally
90% of poisoning related accidents happen in the... and 1/3 of those
accidents happen in the... - ANSWER Home; kitchen
What Is the go to type of treatment for poisonings? - ANSWER Gastric
Decontamination/Gastric Lavage
,First, we will try gastric Decontamination via... if they are within the window
of time. - ANSWER Activated Charcoal
Activated Charcoal is a... - ANSWER Odorless, tasteless black powder that can
be mixed into water/juice/diet soda/chocolate milk that binds to the poison
in the body/absorbs it
After Activated Charcoal binds to the poison, it then pulls it out via the... -
ANSWER GI tract/Stool
When giving Activated Charcoal, d/t the color, it is recommended to give it
how? - ANSWER In an opaque cup with a lid and straw
*the color alone can discourage kids from drinking it
However, Activated Charcoal must be given within how long of ingestion of
the poison for it be effective? - ANSWER Within 1 hour
Now, if the child is already experiencing.... Activated Charcoal cannot be
given orally any longer. - ANSWER Seizures or decreased LOC
, Despite the seizures and decreased LOC, Activated Charcoal can still be
helpful but must be given how? - ANSWER Via an NG tube with a cuffed ETT
If the NG tube is to deliver the Activated Charcoal to the stomach, why is a
cuffed ETT also placed? - ANSWER To protect them from the risk of
aspirating
-Activated Charcoal is extremely harmful to the airway/lungs
When a pt has receiving Activated Charcoal, it is important to monitor for
what SE? - ANSWER Constipation
Constipation is common with kids receiving Activated Charcoal because... -
ANSWER In the process of binding to the poison and pulling out of the body,
it also pulls out water
*potentially causing constipation or even a bowel obstruction
In what instances would Activated Charcoal be contraindicated? - ANSWER If
the child already has an active ileus
If you are in an emergent situation, what is one way to help detect if the child
has an active ileus quickly pricing to administering Activated Charcoal? -
