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Protection - abuse
a
49
Nursing
Undergraduate 2
12/11/2011

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Cards

Term
activated charchoal
Definition
substance used to treat poisoning that binds and absorbs toxins to make them neutral
Term
saline cathartic
Definition
activated charcoal is administered PO after being mixed with water or ______
Term
1g/kg
Definition
recommended dose of activated charcoal
Term
larger
Definition
for NG tubes, a larger gauge number = a _____ tube
Term
1 hour
Definition
a gastric lavage should be done within ______ of entering the ER
Term
gastric lavage
Definition
treatment of choice for poisoning patients who are siezing or comatose or who had taken sedating medication
Term
gastric lavage
Definition
treatment of choice for ingestion of petroleum containing substances
Term
catharsis
Definition
treatment that increases bowel motility to speed excretion and decrease systemic absorption of toxins
Term
sorbitol, Mg, Na laxatives
Definition
three substances used for catharsis
Term
catharsis
Definition
also functions to promote excretion of activated charcoal
Term
tylenol
Definition
most common drug poisoning in children
Term
150 mg/kg
Definition
a toxic dose of tylenol is greater than or equal to _____
Term
2-4 hours
Definition
within ____ of tylenol OD, pt will experiance N/V, anorexia, lethargy, malaise, oliguria
Term
24-36 hours
Definition
within _____ of tylenol OD, the patients status will improve and HEPATIC NECROSIS BEGINS
Term
7+days
Definition
in ______ after tylenol OD, the patients liver may fail causing hepatomegaly, elevated LFT's, Jaundice, coagulation abnormalities, bleeding, kidney failure
Term
catharsis
Definition
treatment that increases bowel motility to speed excretion and decrease systemic absorption of toxins
Term
sorbitol, Mg, Na laxatives
Definition
three substances used for catharsis
Term
catharsis
Definition
also functions to promote excretion of activated charcoal
Term
lead
Definition
____ poisoning can cause renal effects of glycosuria, proteinuria, ketonuria, low Vit D, increase urinary coproporphyin
Term
anemia
Definition
lead poisoning causes ____ because the lead interferes with the absorption of iron
Term
lead
Definition
___ poisoning causes a high amount of neurologic disorders
Term
lead poisoning
Definition
to reduce the incidence of _____ one should consume small frequent meals high in Ca and iron
Term
1.5 mcg/dl - 1.4 mg/dl
Definition
Healthy people 2020's baseline lead levels for children 1-5 is ____ and their goal is _____
Term
chelation treatment
Definition
chemotherapy of metal poisonings
Term
chelation treatment
Definition
treatment that combines with metal for rapid and safe excretion
- can't undo damage already done
Term
CHEMET (succimer)(meso 2, 3-dimercaptosuccinic acid (DMSA))
Definition
oral chelation agent given over 19 days
Term
19days
Definition
chemet (succimer) is given over ___ days for lead chelation therapy
Term
EDTA (Ca disodium edetate)
Definition
IV lead chelation therapy given over several hours
Term
procaine
Definition
EDTA is often mixed with _____ to reduce discomfort
Term
Dimercaprol (INN)/ British anti-Lewisite
Definition
lead poisoning treatment that is used in conjunction with EDTA, never alone
Term
-peanut allergy
- glucose-6 phosphate dehydrogenase deficiency
Definition
Dimercaprol (INN) or British anti-Lewisite is contraindicated in pts with ___(2)____
Term
deep in large muscles
Definition
chelation injections should be given _____ (location)_____
Term
10
Definition
for lead levels less than __, the CDC recommends to reassess in 1 year or sooner PRN
Term
10-14
Definition
for lead levels from ____, the CDC recommends that the family be educated on lead testing and referred to social services PRN
Term
15-19
Definition
for lead levels ___, the CDC recommends educating the family, social services referral and if lead levels stay high, clinical management and environmental investigation
Term
20-44
Definition
for lead levels of ____, the CDC recommends coordination of care, clinical management, environmental investigation, and lead hazard control
Term
45-69
Definition
for lead levels _____, the CDC recommends chelation therapy in addition to coordination of care, clinical management, environmental investigation, and lead hazard control
Term
45-69
Definition
for lead levels ____, the child must be removed from toxic environment in order for chelation to be effective
Term
70
Definition
lead levels greater than ___ require immediate treatment of chelation therapy and all other possible interventions
Term
physical abuse
Definition
2nd most common type of child abuse
Term
skin injuries (minor more than major)
Definition
most common sign of physical child abuse
Term
emotional abuse
Definition
deliberate attempts to demean/destroy a child's self-esteem or competence
Term
8 months
Definition
it is rare to see injury not associated with abuse in children under _____
Term
9 months
Definition
children older than ____ may have 1 naturally occuring injury with abuse being suspected
Term
5-9 years
Definition
children age ____ most frequently have natural injuries
Term
extremities
Definition
non-abuse related injuries ussually appear on the ______ of a child
Term
physical abuse
Definition
2nd most common type of child abuse
Term
Factitious Disorder
Definition
another name for Munchausen Syndrome by Proxy
Term
10
Definition
__% of MSP children die
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