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CPEN TEST STUDY GUIDE
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CPEN TEST STUDY GUIDE
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CPEN TEST STUDY GUIDEPeds Assessment Triangle - Answers -Apperance, WOB, and circulation
No touch
3 S's - Answers -Sick: nothing abmornal
Sicker: acute disruption
Sickest: 2 or more disruptions
Urgent vs. Emergent - Answers -U: need care within 24 hrs
E: threats to life, limb, or eyesight
4 components of Peds Triage - Answers -PAT, initial assessment, triage hx, acuity
Gastric Lavage - Answers -Needs to be done within 1 hr
Helpful if med slow gastric motility
Iron Ingestion
Tricyclic
Activated Charcoal - Answers -Within 1hr
1gm/kg
Will not absorb alcohols, hydrocarbons, caustics, or heavy metals
Tricyclic - Answers -Any amt toxic to a child
CNS and cardiac problems(wide QRS), hypotension, anticholinergic symptoms
Bicarb for cardiac toxicity, lidocaine to prevent vent. dysrhythmias, benzos for sx
Ca Channel Blockers - Answers -small amt lethal
Decontaminate GI
Monitor, Ca Chloride supplement, glucagon to increase HR, insulin
Digitalis - Answers -Dysrhythmia, N/V, halos, increased K, brady, dec BP
Antidote: Dig Fab binds to to dig
Lomotil - Answers -Mixture opioid and atropine-toxic
Delayed absorption
Lasts 24 hr
1 pill can be toxic
Hydrofluoric acid - Answers -Call PC
rust removers, glass etch
causes local and systemic toxicity
Irrigate, watch Ca levels, hard to control pain
, Opioids - Answers -Clonidine: slows HR, hypotension
Treat with Narcan
Methemoglobinemia - Answers -Blue baby, can be congenital or caused by the nitrates
in well water
treated with Methylene blue
Caustic Substances - Answers -Ph of <2 or >12 greater injury
Similar to a burn
Ocular lesions:irrigate, pH before and after
Organophosphates - Answers -Insecticides
MTWtHF syndrome: mydriasis, muscle twitching, muscle cramps, inc HR, weakness,
HTN
SLUDGE: muscarinic- salivation, urination, defecation, gastric cramping, emesis
Bronchial secretions- give atropine
Anticholinergic/Antihistimines - Answers -Benadryl: hot,dry, flushed, agitated, sx, tachy,
CNS depression
Sympathomimetic/Decongestants/cocaine/amphetamines - Answers -Flushed,
diaphoretic, agitated, enlarged pupils, inc BP, inc HR, sx, inc Temp,A ,B,C,D
Dextromethorpan - Answers -intox, hallucinations, euphoria
treat with narcan
Magnets - Answers -may pass if single
multiples can entrap tissues
Hydrocarbons - Answers -Fuel, oil, waxes, polish
No GI decontam- can cause V and aspiration
Lipid pna
Obs for 6 hrs
Inhaled hydrocarbons - Answers -Huffing/sniffing: myocardial irritability(butane,
propane, air fresheners)
Refrigerants: may freeze mouth and airway
Toulene sniffing: glue and nail polish
Iron ingestion - Answers -60mg/kg toxic
St. 1: 30m-2hr N/V/D c abd discomfort
St. 2: 2-12 hr latent, toxic
St. 3: Cardivas. collapse, hepatic injury, dec LOC
St. 4: Damage to GI if survived
Antidote: Deferoxamine- bonds with free iron, rose colored urine. Urine clear with all
iron excreted
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