CORRECT!!
Peds Assessment Triangle
Apperance, WOB, and circulation
No touch
3 S's
Sick: nothing abmornal
Sicker: acute disruption
Sickest: 2 or more disruptions
Urgent vs. Emergent
U: need care within 24 hrs
E: threats to life, limb, or eyesight
4 components of Peds Triage
PAT, initial assessment, triage hx, acuity
Gastric Lavage
Needs to be done within 1 hr
Helpful if med slow gastric motility
Iron Ingestion
Tricyclic
Activated Charcoal
Within 1hr
1gm/kg
Will not absorb alcohols, hydrocarbons, caustics, or heavy metals
Whole bowel Irrigation
Golytely
For iron, lead, sustained release
Acetaminophen Ingestion
Liver damage
St.1: 12-24 hr- vague, N/V, anorexia, pallor
St.2: 1-4 days, latent
St.3: 72-96 hr hepatic necrosis
St.4: 7-8 days worse or better
4 hr level, Acetodote
Disc Batteries
Remove immediately, fatal tissue injury
Methanol
Windshield washer fld, gas additives
GI, CNS, and ocular: acidosis and CNS depression
Formic Acid damages optic nerve
Give Antidote: formepizole or ethanol inhibitors
Isopropyl Alcohol
Rubbing alcohol, hand sanitizer
Absorbed by the GI tract, excreted by kidney, metabolized by liver