TYPE ASSESSMENT MANAGEMENT

ACETAMINOPHEN Abdominal pain  assess the time of ingestion and

POISONING Irritability the reason acetaminophen was
Generalized originally administered
weakness  assess patients for malnutrition and
Loss of appetite alcohol use
Jaundice   N-acetylcysteine is given
Diarrhea  If the child is admitted to an observation
Nausea unit, continue to observe for jaundice and
Vomiting tenderness over the liver, asses ALT and
Convulsions AST levels as ordered
Blood Tests
Rumack-
Matthew
Nomogram
CAUSTIC Pain in the mouth Advoctae for strong analgesic, such as IV morphine
POISONING and throat and drools Assess vital signs
saliva Intubation and tracheotomy maybe necessary to
Inability to swallow provide patent airway
Activated charcoal should be administered
Mouth turns white
Vomit blood, mucus
and necrotic tissue
Tachycardia ,
tachypnea, pallor and
hypotension
Edema and ulceration
in the mouth
IRON POISONING Obtaining blood for Stomach lavage
serum iron level Administration of a chelating agent such as IV or
analysis intramuscular (IM) deferoxamine and caution parents
that deferoxamine causes urine to turn yellow
An upper GI X-ray series and liver studies may be
performed 1 week
LEAD POISONING Blood serum lead Administration of chelating agents
levels greater than 5 Administration of CaEDTA
m / dl Assess BUN, serum creatinine and protein in urine

radiology