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Mike > Referral Guidelines for Single Acute Ingestions > Flashcards

Referral Guidelines for Single Acute Ingestions Flashcards

1
Q

Acetaminophen (pediatric)

A

200 mg/kg

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2
Q

Acetaminophen (adult)

A

140 mg/kg

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3
Q

Acetaminophen (extended release)

A

Check 4 and 6 hour levels

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4
Q

ACE inhibitors

- Capoten (captopril) Vasotec (enalapril) Prinivil, Zestril (lisinopril) Lotensin (benazepril)

A

Refer only if symptomatic

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5
Q

Acebutolol (beta blocker)

A

Child > 12 mg/kg

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6
Q

Atenolol (beta blocker)

A

Child > 2 mg/kg

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7
Q

Carvedilol (beta blocker)

A

Child > 0.5 mg/kg

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8
Q

Labetalol (beta blocker)

A

Child > 20 mg/kg

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9
Q

Metoprolol (beta blocker)

A

Child
> 2.5 mg/kg (immediate release)
> 5 mg/kg (sustained release)

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10
Q

Nadolol (beta blocker)

A

Child >2.5 mg/kg

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11
Q

Propranolol (beta blocker)

A

Child
>4 mg/kg (immediate release)
>5 mg/kg (sustained release)

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12
Q

Sotalol (beta blocker)

A

No safe dose - all referred in

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13
Q

Timolol (beta blocker)

A

No safe dose - all referred in

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14
Q

Brodificoum

A

INR at 48 hours if adult suicidal or large pediatric ingestion

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15
Q

Bupropion (Wellbutrin)

- antidepressant

A

Child: >10 mg/kg

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16
Q

Button Battery

A

Immediate referral (if x-ray confirms in stomach or intestines should pass uneventfully)

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17
Q

Caffeine

A

> 40 mg/kg

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18
Q

Camphor

A

> 15 mg/kg

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19
Q

Cigarettes

A

> 1 cigarette or 3 butts

20
Q

Citalopram (Celexa)

- SSRI - antidepressant

A

> 5.5 mg/kg

21
Q

Clonidine (Catapres)

- hypertension and ADHD

A

> 0.01 mg/kg

22
Q

Clonidine (transdermal patch)

A

> 1 lick or ingestion

23
Q

Dextromethorphan

A

> 10 mg/kg

24
Q

Digoxin (pediatric < 13 y/o not taking dig regularly)

- Digox, Digitek, Lanoxin

A

> 40 mcg/kg

25
Q

Digoxin (adult not taking dig regularly)

- Digox, Digitek, Lanoxin

A

> 15 mcg/kg

26
Q

Diltiazem (Cartia XT, Tiazac, DILT-XR, Matzim LA, Cardizem, Taztia XT)
- Calcium Channel Blocker

A

Child: > 1 mg/kg

27
Q

Diphenhydramine (Benadryl, Nytol, Banophen)

A

> 7 mg/kg

28
Q

Ethanol (100%)

A

> 1 mL/kg

29
Q

Ethylene Glycol (100%)

A

> 0.05 mL/kg

30
Q

Fluoride (NaF = 45.2%; SnF = 24.3%)

A

> 10 mg/kg

31
Q

Guanfacine (Tenex; Intuniv)

  • Tenex for hypertension
  • Intuniv for ADHD
A

No safe dose for under age 6 - all referred in

32
Q

Ibuprofen (Advil, NeoProfen, Caldolor)

A

> 200 mg/kg

33
Q

Isoniazid

antibiotic for tuberculosis

A

> 10 mg/kg

34
Q

Iron

A

Only if develops nausea/vomiting (observe at home 6 hours)

35
Q

Isopropanol 100% (isopropyl alcohol)

A

> 0.5 mL/kg

36
Q

Lithium (Eskalith, Lithobid)

A

> 37 mg/kg

37
Q

Methanol (100%)

A

> 0.07 mL/kg

38
Q

Mothballs (camphor or unknown)

A

> 1 mothball

39
Q

Mothballs (naphthalene; para-dichlorobenzene)

A

> 5 mothballs

40
Q

Mushrooms

A

Refer only if symptomatic

more serious if symptoms occur > 6 hours post-ingestion

41
Q

Phenylephrine

A

Refer only if symptomatic (e.g. tachycardia, hypertension, n/v, HA)

42
Q

Phenol

A

> 5%
or
5 mg/kg

43
Q

Pseudoephedrine (Sudafed)

A

11 mg/kg

44
Q

Salicylates

A

> 300 mg/kg

45
Q

Salt (NaCl)

A

> 300 mg/kg

1 teaspoon of salt = about 2,300 mg of NaCl

46
Q

Levothyroxine (Synthroid)

A

Refer only if symptomatic

47
Q

Venlafaxine (Effexor)

  • antidepressant
  • serotonin-norepinephrine reuptake inhibitor (SNRI)
A

> 5.5 mg/kg

Mike (17 decks)

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