Term
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Definition
| Ingesting, inhaling, or absorbing a toxic substance |
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Term
| What is a common cause of childhood injury and illnesses? |
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Definition
| Poisoning, particularly by ingestion |
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Term
| Most poisoning occurs in children |
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Definition
| younger than 6 years with a peak age of 2 years |
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Term
| What places the early childhood child at risk for poisoning? |
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Definition
| The exploratory behavior, curiosity, and oral activity of early childhood |
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Term
| Where do poisonings occur, usually? |
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Definition
| About 90% of poisonings occur in the home |
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Term
| What should the nurse assess for in poisoning? |
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Definition
a. child found near source of poison
b. Gastrointestinal (GI) disturbance: nausea, abdominal pain, diarrhea, vomiting
c. burns of mouth, pharynx
d. respiratory distress
e. seizures, changes in level of consciousness
f. cyanosis
g. shock |
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Term
| Common Nursing Diagnoses for poisoning |
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Definition
a. Risk for poisoning related to...
b. deficient knowledge (home safety) related to... |
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Term
| Identify the poisonsous agent |
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Definition
|
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Term
|
Definition
| respiratory, cardiac, and neurologic status |
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Term
| What should the nurse instruct the parent to bring with them to the emergency department? |
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Definition
|
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Term
| The nurse should determine a child's |
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Definition
|
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Term
| Use of syrup of ipecac is |
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Definition
| no longer recommended by the American Academy of Pediatrics. Teach parents that it is not recommended to induce vomiting in any way because it may cause more damage |
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Term
| Poison removal and care may require |
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Definition
| gastric lavage, activated charcoal, or naloxone HCL (Narcan) |
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Term
| How do you poison proof and child proof the home? |
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Definition
a. Identify location of poisons: under the sink, in medicine cabinets; storage rooms, garages, poisonous plants (philodendron, dieffenbachia)
b. put locks on cabinets
c. use safety containers
d. discard unused medications
e. make sure child is always under adult supervision |
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Term
| Post the telephone number for local poison control center |
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Definition
|
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Term
| Examine the environment from the |
|
Definition
| child's viewpoint. (the height to which a 2 to 5 year old can reach) |
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Term
|
Definition
| community health nurse or child welfare agency if necessary |
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Term
| Descriptcion of lead poisoning |
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Definition
| It is estimated that 2.2% of children younger than 6 years of age living in the USA have blood levels greater than 10 mcg/dL |
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Term
| Which age group is most vulnerable to the effects of lead? |
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Definition
| Children 6 years of age and younger |
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Term
| The major cause of lead poisoning is |
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Definition
| deteriorating lead-based paint |
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Term
| How does lead enter the body? |
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Definition
| through ingestion, inhalation, or in the case of the unborn child, placental transfer when mother is exposed |
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Term
| The common route for lead to enter the body is |
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Definition
| ingestion either from hand to mouth behavior via contaminated hands, fingers, toys or pacifiers or, less often from eating sweet tasting loose paint chips found in homes built before the 1950s or in a play area |
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Term
| What parts of the body are most seriously effected by lead? |
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Definition
| renal, neurologic, and hematologic systems |
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Term
| What is currently used for screening and diagnosis of lead poisoning |
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Definition
| The blood lead level (BLL) test |
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Term
| What is a good indicator of early toxic effects of lead? |
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Definition
| Erythrocyte portoprophyrin |
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Term
| Screen for lead poisoning using these guidelines |
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Definition
| Center for Disease Control and Prevention |
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Term
| All children should have a BLL test at the ages of |
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Definition
|
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Term
|
Definition
1. Collect blood in a capillary tube and send to the laboratory
2. During collection, avoid contamination of blood specimen and lead on the sking |
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Term
| Any child betten the ages of ___________ who has not been screened should also be tested. |
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Definition
|
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Term
| Obtain a history of possible sources of |
|
Definition
| lead in the child's environment |
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Term
| General signs of lead poisoning |
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Definition
| Anemia; acute crampy abdominal pain; vomiting; constipation; anorexia; headache; lethargy; impaired growth |
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Term
| Early CNS signs of lead poisoning |
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Definition
| hyperactivity; aggression; impulsiveness; decreased interest in play; irritability; short attention span |
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Term
| Late CNS signs of lead poisoning |
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Definition
| mental retardation; paralysis; blindness; convulsions; coma; death |
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Term
| Lead poisoning nursing diagnoses |
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Definition
A. Risk for poisoning related to...
B. Interrupted family processes related to...
c. Risk for injury related to... |
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Term
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Definition
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Term
| Administer prescribed chelating agents to |
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Definition
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Term
| If child is allergic to peanuts, he/she should not be given chelating agents such as |
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Definition
| dimercaprol; D-penicillamine, or calcium disodium EDTA |
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Term
| Rotate injection sites if chelating agent is given |
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Definition
|
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Term
| Reasssure child that injections are a treatment not a |
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Definition
|
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Term
| When giving chelating agent IM injection of CaNa2 EDTA administer this local anesthetic |
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Definition
|
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Term
| Apply EMLA cream over puncture site |
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Definition
| 2 1/2 hours before the injection to reduce discomfort |
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Term
| Avoid giving iron during chelation because |
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Definition
| of possible interactive effects |
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Term
| If home oral chelation therapy is used |
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Definition
| teach family proper administration of medication |
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Term
| Administer prescribed cleansing enemas or cathartic |
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Definition
|
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Term
| Do not vacuum hard surfaced floors or windowsills or window wells in homes built before 1960 because |
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Definition
|
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Term
| Wash and dry child's hands and face frequently |
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Definition
| especially before the child eats to prevent lead poisoning |
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Term
| To prevent lead poisoning was toys and pacifiers |
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Definition
|
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Term
| Make sure that home exposure to lead is not occurring from |
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Definition
| parental occupations or hobbies |
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Term
| More lead is absorbed on an |
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Definition
|
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Term
|
Definition
| higher levels of lead because it dissolves lead more quickly than cold water, so use only cold water for consumption (drinking, cooking, and especially for making infant formula |
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