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Ebook Pediatrics CCS: Part 2

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Nội dung chi tiết: Ebook Pediatrics CCS: Part 2

Ebook Pediatrics CCS: Part 2

CHAPTER 7https://khothu vien .comPOISONINGCASE 1: AcetaminophenSetting: EDCC: “My child took acetaminophen. ’’HPI: A 3-year-old girl is brought to the

Ebook Pediatrics CCS: Part 2e emergency department for ingestion of an unknown amount of acetaminophen. The mother stares that the girl was left home with the grandmother who fel

l asleep on the couch, When the grandmother woke up. she found the child playing with a bottle of acetaminophen with multiple pills on the floor. Ther Ebook Pediatrics CCS: Part 2

e was an unknown number of pills in the bottle and an unknown number ingested. The grandmother found her more than an hour ago: an exact rime of inges

Ebook Pediatrics CCS: Part 2

tion is unknown, but less than 2 hours is suspected. The patient currently has no symptoms.Physical Exam: Within normal limitsWhich of the following i

CHAPTER 7https://khothu vien .comPOISONINGCASE 1: AcetaminophenSetting: EDCC: “My child took acetaminophen. ’’HPI: A 3-year-old girl is brought to the

Ebook Pediatrics CCS: Part 2ren who may have a toxic ingestion of acetaminophen should receive activated charcoal if the event occurs less than 4 hours after the ingestion. Intub

ation is not needed in patients who can protect their airways. There is no indication that the chi Id cannot protect her airway. If the test wants you Ebook Pediatrics CCS: Part 2

to know the answer, it has to tell you something! Gastric lavage is not indicated in adults or children because there is a high rate of aspiration. A

Ebook Pediatrics CCS: Part 2

ctivated charcoal is more effective with fewer risks. Emergency dialysis is not indicated as initial management.The proper medication is administered,

CHAPTER 7https://khothu vien .comPOISONINGCASE 1: AcetaminophenSetting: EDCC: “My child took acetaminophen. ’’HPI: A 3-year-old girl is brought to the

Ebook Pediatrics CCS: Part 2eAnswer a. .V-acetylcysteineAll of the answers are antidotes for a specific type of poisoning:AntidotesPoisoningAntidoteAcetaminophenN-acetylcysteineH

eavy metal poisoningDimercaprolIron poisoningDeferoxamineBeta-blocker or calcium channel blockerGlucagonOral sulfonylurea poisoningOctreotideThe child Ebook Pediatrics CCS: Part 2

is administered the antidote, and the acetaminophen level, international normalized ratio, and liver enzymes are monitored. The patient never develop

Ebook Pediatrics CCS: Part 2

s abnormalities o f the liver enzymes.Mechanism of acetylcysteine•Prodrug of L-cysteine•Produces biologic antioxidant glutathione•Glutathione blocks o

CHAPTER 7https://khothu vien .comPOISONINGCASE 1: AcetaminophenSetting: EDCC: “My child took acetaminophen. ’’HPI: A 3-year-old girl is brought to the

CHAPTER 7https://khothu vien .comPOISONINGCASE 1: AcetaminophenSetting: EDCC: “My child took acetaminophen. ’’HPI: A 3-year-old girl is brought to the

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