Other
CPEN TEST STUDY GUIDE
- Course
- Institution
CPEN TEST STUDY GUIDE
[Show more]
Content preview
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
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller GEEKA. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
72042 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now