ENPC 6th EDITION Chap. 14 AMS

Question 1

What is considered hypoglycemia in a child?

Answer 1

BDL < 70mg/dl (p. 210)

Question 2

How soon after glucose administration should a repeat blood sugar be obtained?

Answer 2

15 minutes (p. 211)

Question 3

What concetration of glucose should be administered to an infant?

Answer 3

10% (p.211)

Question 4

What concetration of glucose should be given to a child over 5 years of age?

Answer 4

25% (p.211)

Question 5

Dose of NAC IV

Answer 5

150 mg/kg (p.216)

Question 6

TCA overdose toxidrome?

Answer 6

Anticholonergic
dry as a bone, mad as a hatter, blind as a bat, red as a beet, hot as a hare (p.217)

Question 7

What are seven possible Beta Blocker OD treatments ?

Answer 7

IV fluids for hypotension
Atropine/pacing
Glucagon
Insluin and Dextrose infusion
Vassopressors
lipid emulsion
ECMO (p.218)

Question 8

What are three Iron OD treatments?

Answer 8

Desferoximine
Chelation
WBI
(p.218)

Question 9

What are three medications besides glucose that can be used to treat an Oral antidiabetic agent OD ?

Answer 9

Glucagon
Octreotide or diazoxide to decrease pancreatic insulin release
(p.218)

Question 10

Salicylate OD may cause what symptoms?

Answer 10

Respiratory alkalosis
(p.218)
Primary, gives way to met acidosis due to uncoupling oxidative phosphorilation (Merk Manual)

Question 11

What is the preferred antidote for cyanide poisoning?

Answer 11

Hydroxycobalamin
As an alternate–
sodium nitrite
sodium thiopental
amyl nitrate (p.221)

Question 12

TX for organophosphate OD?

Answer 12

pralidoxime (p.222) aka “2-PAM”
Atropine in high doses

Question 13

Four DKA criteria in pediatric patients?

Answer 13

BGL > 200mg/dL
Venous pH < 7.3
Serum Bicarb < 15 mmol/L
Urine ketones > 3 mmol/L
(p.225)

Question 14

What is the blood glucose criteria for that requires immediate intervention?

Answer 14

<54 mg/dL (p.210)

Question 15

Anticholinergic antidote?

Answer 15

Physotigmine (p.213)

Question 16

Salicylates OD treatment?

Answer 16

Sodium Bicarb (p.214)

Question 17

TCA OD TX?

Answer 17

Sodium bicarb, lipids (p.214)

Question 18

Two Toxic alcohol (ehtylene glycol, methanol) tx?

Answer 18

Fomepizole, ethanol (p.214)

Question 19

SSRI OD Tx?

Answer 19

Ciproheptadine (p.214)

Question 20

Pupilary reaction to opiod OD?

Answer 20

Miosis (constricted pupils) (p.218)