PEDIACTRIC NURSE PRACTITIONER ACUTE CARE (PNP-AC) TOXICOLOGY
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Course
PEDIACTRIC NURSE PRACTITIONER ACUTE CARE
Institution
PEDIACTRIC NURSE PRACTITIONER ACUTE CARE
PEDIACTRIC NURSE PRACTITIONER
ACUTE CARE (PNP-AC) TOXICOLOGY
A 2 year old male patient is found with an empty
bottle of his grandmother's Cardizem XR 60mg. He
is alert and crying on arrival to the ED Per EMS
report this occurred 1 hour ago. As the NP you
recognize that your priority is t...
PEDIACTRIC NURSE PRACTITIONER
ACUTE CARE (PNP-AC) TOXICOLOGY
A 2 year old male patient is found with an empty
bottle of his grandmother's Cardizem XR 60mg. He
is alert and crying on arrival to the ED Per EMS
report this occurred 1 hour ago. As the NP you
recognize that your priority is to:
A) Call poison control
B) Call Social Work
C) Adminster syrup of ipecac
D) Order patient placed on a cardio-respiratory
monitor - ANSWER ✔✔D. Order the patient place on
cardio-respirtory monitor
Although A & B may also be completed, the
IMMEDIATE action is to monitor his HR and BP
, Cardizem XR is a extended release calcium channel
blocker which slows the inward movement of
calcium ions through nodal tissue. It can slow the
heart rate and decrease the blood pressure. The
results are decreased conduction velocity and
increased refractory period in the AV node. The
effects can peak over 2-4 hours
A family presents to the ED with their 3 year old
daughter who reportedly has taken an uncertain
quantity of her mother's prenatal vitamins. As the
PNP on call in the ED, you remember the best
antidote would be
A) Activated Charcoal
B) Syrup of Ipecac
C) Deferoxamin methylate or DFO
D) Gastric Lavage - ANSWER ✔✔C. Deferoxamin
methylate or DFO
The specific antidote for iron ingestion is DFO.
DFO acts as a chelating agent
Binds with iron and is excreted by the kidneys
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