Pediatric Nurse Practitioner Acute Care
(PNP-AC) Toxicology 2024 Exam Review
Questions and Answers 100% Pass
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
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