Poisoning Flashcards
The most commonly ingested medications in poisoning are
*opioids
*benzodiazepines
*acetaminophen
*ibuprofen
*diphenhydramine
In the emergency department, the best method to deactivate a swallowed poison is
administration of activated charcoal, either orally or by NG tube.
is supplied as a fine black powder that is mixed with water for administration
Activated Charcoal
is an over-the-counter medication used for fevers that is frequently involved in childhood poisoning.
Acetaminophen (Tylenol)
Acetaminophen poisoning symptoms:
Develops the following:
*anorexia
*Nausea
*vomiting
liver may feel tender on palpation as
liver toxicity occurs
A mucolytic agent and the specific antidote for acetaminophen poisoning
Activated Charcoal or acetylcysteine
prevents hepatotoxicity by binding with the breakdown product of acetaminophen so that it will not bind to liver cells.
Acetylcysteine
If the child is admitted to an observation unit due to Acetaminophen poisoning,what to do?
*continue to observe for jaundice, tenderness over the liver
*assess ALT and AST levels
ingestion of a strong alkali
caustic poisoning
component in toilet bowl cleaners or hair care produces
“lye”
After a caustic ingestion, the child has immediate
pain in the mouth and throat and drools saliva
This can occur as quickly as 20 minutes after a burn due to caustic poisoning
Pharyngeal Edema
What analgesic is given for caustic poisoning
IV Morphine
may be ordered to determine whether the aspirated poison has caused an esophageal perforation
Chest X-ray
For caustic poisoning, _______ is done to assess the lungs and esophagus
A laryngoscopy and Esophagoscopy under conscious sedation