Pediatric Poisonings

Question 1

What type of medication is responsible for the most deaths in peds?

Answer 1

Pain killer medications

Question 2

What is the suspected reason that kids need smaller doses of drugs to achieve toxic amounts (not weight)?

Answer 2

BBB is less fully formed

Question 3

What hemodynamic changes occur with clonidine or guanfacine OD?

Answer 3

Initially HTN, but progresses to hypotension

Question 4

What is the drug of choice for sulfonylurea overdose, besides dextrose?

Answer 4

Octreotide

Question 5

What is the treatment for synthroid OD in children?

Answer 5

Dexamethasone to prevent peripheral conversion of T4 to T3

Question 6

What is the effect of hypervitaminosis K?

Answer 6

Actually antagonizes vit K action, leading to increased INR

Question 7

What are the s/sx of hypervitaminosis C?

Answer 7

Diarrhea

Renal calculi

Question 8

What is the treatment for swallowing batteries in children?

Answer 8

if button, go to ED and endoscopic removal

if not button, then may pass on its own

Question 9

What is the concern with swallowing button batteries in particular?

Answer 9

Corrosive effect from electrical charge

Question 10

What electrolyte disturbances can result from swallowing HF?

Answer 10

Hypocalcemia

Hypomagnesemia

Question 11

What is the difference between ASA toxicity in children and adults?

Answer 11

Children progress much more quickly