Referral Guidelines for Single Acute Ingestions Flashcards
Acetaminophen (pediatric)
200 mg/kg
Acetaminophen (adult)
140 mg/kg
Acetaminophen (extended release)
Check 4 and 6 hour levels
ACE inhibitors
- Capoten (captopril) Vasotec (enalapril) Prinivil, Zestril (lisinopril) Lotensin (benazepril)
Refer only if symptomatic
Acebutolol (beta blocker)
Child > 12 mg/kg
Atenolol (beta blocker)
Child > 2 mg/kg
Carvedilol (beta blocker)
Child > 0.5 mg/kg
Labetalol (beta blocker)
Child > 20 mg/kg
Metoprolol (beta blocker)
Child
> 2.5 mg/kg (immediate release)
> 5 mg/kg (sustained release)
Nadolol (beta blocker)
Child >2.5 mg/kg
Propranolol (beta blocker)
Child
>4 mg/kg (immediate release)
>5 mg/kg (sustained release)
Sotalol (beta blocker)
No safe dose - all referred in
Timolol (beta blocker)
No safe dose - all referred in
Brodificoum
INR at 48 hours if adult suicidal or large pediatric ingestion
Bupropion (Wellbutrin)
- antidepressant
Child: >10 mg/kg
Button Battery
Immediate referral (if x-ray confirms in stomach or intestines should pass uneventfully)
Caffeine
> 40 mg/kg
Camphor
> 15 mg/kg
Cigarettes
> 1 cigarette or 3 butts
Citalopram (Celexa)
- SSRI - antidepressant
> 5.5 mg/kg
Clonidine (Catapres)
- hypertension and ADHD
> 0.01 mg/kg
Clonidine (transdermal patch)
> 1 lick or ingestion
Dextromethorphan
> 10 mg/kg
Digoxin (pediatric < 13 y/o not taking dig regularly)
- Digox, Digitek, Lanoxin
> 40 mcg/kg
Digoxin (adult not taking dig regularly)
- Digox, Digitek, Lanoxin
> 15 mcg/kg
Diltiazem (Cartia XT, Tiazac, DILT-XR, Matzim LA, Cardizem, Taztia XT)
- Calcium Channel Blocker
Child: > 1 mg/kg
Diphenhydramine (Benadryl, Nytol, Banophen)
> 7 mg/kg
Ethanol (100%)
> 1 mL/kg
Ethylene Glycol (100%)
> 0.05 mL/kg
Fluoride (NaF = 45.2%; SnF = 24.3%)
> 10 mg/kg
Guanfacine (Tenex; Intuniv)
- Tenex for hypertension
- Intuniv for ADHD
No safe dose for under age 6 - all referred in
Ibuprofen (Advil, NeoProfen, Caldolor)
> 200 mg/kg
Isoniazid
antibiotic for tuberculosis
> 10 mg/kg
Iron
Only if develops nausea/vomiting (observe at home 6 hours)
Isopropanol 100% (isopropyl alcohol)
> 0.5 mL/kg
Lithium (Eskalith, Lithobid)
> 37 mg/kg
Methanol (100%)
> 0.07 mL/kg
Mothballs (camphor or unknown)
> 1 mothball
Mothballs (naphthalene; para-dichlorobenzene)
> 5 mothballs
Mushrooms
Refer only if symptomatic
more serious if symptoms occur > 6 hours post-ingestion
Phenylephrine
Refer only if symptomatic (e.g. tachycardia, hypertension, n/v, HA)
Phenol
> 5%
or
5 mg/kg
Pseudoephedrine (Sudafed)
11 mg/kg
Salicylates
> 300 mg/kg
Salt (NaCl)
> 300 mg/kg
1 teaspoon of salt = about 2,300 mg of NaCl
Levothyroxine (Synthroid)
Refer only if symptomatic
Venlafaxine (Effexor)
- antidepressant
- serotonin-norepinephrine reuptake inhibitor (SNRI)
> 5.5 mg/kg
