Study sets, textbooks, questions
Upgrade to remove ads
Pediatrics: Poison part 2
Terms in this set (47)
Heavy metal poisoning/lead AKA
Sources of lead poisoning (7)
-Lead based paint chips
-Drinking water via lead pipes (MI)
-Occupations or hobbies (father working in factory or stained glass)
-Mexican pottery folk remedies
-Toys/pacifiers (from China?)
Kids that are at an increased risk for lead poisoning (3)
-Increased absorption in kids <6
-Increased risk of low iron, Vit. C or Calcium
How to prevent lead poisoning (3)
-Wash hands/face before eating
-Wet mop hard surfaces and window sills (do not vacuum)
-Use cold, running (2 min.) water for cooking and consumption
4 manifestations of lead poisoning
What 2 manifestations of lead poisoning are reversible?
hematologic and renal
Lead: CNS symptoms (6)
increased ICP d/t cerebral edema -> seizure, coma, mental deficits, paralysis, blindness, death
Lead: CNS symptoms causes impaired what?
Lead: CNS causes what initially?
Soft neuro signs or behavioral changes
soft neurological signs
-lack of hand coordination
Lead: CNS is what early on?
What is the earliest sign of plumbism?
Lead binds to what?
Lead: Hematologic symptoms (4)
HA, anorexia, lethargy, pale
What percentage of lead is on RBCs?
What percentage of lead is in bones/teeth?
Lead: GI symptoms (5)
crampy abd. pain, N/V, anorexia, constipation/diarrhea (black), gum lead lines
Lead: Renal symptoms present at high or low levels?
Lead: Renal symptoms (2)
glycosuria and proteinuria
Screen kids at what ages for lead?
1 and 2 yrs.
BLL (blood lead level)
used to measure amount of lead in blood levels
BLL >5 mcg/dL
Education and re-screen in 3-6 mo.
BLL >10 mcg/dL
Previous + environmental evaluation and rescreen in 1-3 mo.
BLL >45 mcg/dL
Previous + treatment (drugs)
BLL >70 mcg/dL
Previous + emergency
What do lead levels tend to do once treated?
The lead gets leeched out of the bones and teeth, causing the lead levels to risk again (rebound)
What is the enzyme that increases as lead levels increase?
EP (erythrocyte protoporphyrin)
What is the type of drugs used to treat lead poisoning?
Drug used for BLL 45-50 mcg/dL
DMSA additional notes (3)
1. Given PO
3. Monitor for blood dyscrasias (neutropenia) and liver damage
Drug used for BLL >45 mcg/dL
Calcium disodium edetate
CaNa2EDTA additional notes (2)
1. Given IV x5 days
2. Monitor for kidney function, hypoglycemia, and hypocalcemia
Drug used for high BLL
BAL additional notes (4)
1. Given IM q4hr. x2-7 days -> rotate sites; use Procaine, LMX, warm compresses, and play therapy
2. Take w/CaNa2EDTA
3. Causes N/V and neutropenia
4. Avoid w/peanut allergy
Nursing care (lead): Use what 3 things to remove lead within 1 hr.?
Bowel irrigation w/cathartics
What does not work with lead poisoning?
Nursing care (lead): What checks d/t cerebral edema?
Neuro checks w/seizure precautions
Nursing care (lead): Monitor what 3 things?
1. Calcium levels
2. Kidney function
3. Long-term school progress and speech (Denver II)
Kidney function tests
BUN, Creatinine, and GFR
Nursing care (lead): Treat anemia with what after what?
Fe after chelation tx when EP and BLL decreases
Nursing care (lead): Additional notes
1. Environmental assessment and clean-up (EPA)
2. Preventative screening for family members and friends
Mercury poisoning: Risk for who especially?
The unborn fetus if mom consumes large amounts of mercury
Mercury is also present in what?
fluorescent light bulbs
What tx for iron vitamin poisoning in the latent period?
Deferoxamine (chelating drug)
Deferoxamine causes the urine to turn what color?
What 5 plants are problems for kids?
Poinsettias, Ivy, Philodendron, Azaleas, and holly
Are mushrooms fatal?
Sets with similar terms
CH3 EKG views of heart
EKG state board exam
Other sets by this creator
Pediatrics: Poisons part 1
Other Quizlet sets
Micro Ch. 25 (Exam 3)
Chapter 6- Peds
Diseases of the Cardiovascular and Lymphatic Syste…