CPEN TEST Questions with Correct Answers 100% Verified Peds Assessment Triangle - Correct Answer Apperance, WOB, and circulation No touch
3 S's - Correct Answer Sick: nothing abmornal
Sicker: acute disruption
Sickest: 2 or more disruptions
Urgent vs. Emergent - Correct Answer U: need care within 24 hrs
E: threats to life, limb, or eyesight
- components of Peds Triage - Correct Answer PAT, initial assessment, triage hx, acuity
Gastric Lavage - Correct Answer Needs to be done within 1 hr Helpful if med slow gastric motility Iron Ingestion Tricyclic Activated Charcoal - Correct Answer Within 1hr 1gm/kg Will not absorb alcohols, hydrocarbons, caustics, or heavy metals Whole bowel Irrigation - Correct Answer Golytely For iron, lead, sustained release Acetaminophen Ingestion - Correct Answer Liver damage
St.1: 12-24 hr- vague, N/V, anorexia, pallor
St.2: 1-4 days, latent 1 / 2
St.3: 72-96 hr hepatic necrosis
St.4: 7-8 days worse or better
- hr level, Acetodote
Disc Batteries - Correct Answer Remove immediately, fatal tissue injury Methanol - Correct Answer 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 - Correct Answer Rubbing alcohol, hand sanitizer Absorbed by the GI tract, excreted by kidney, metabolized by liver Ethanol - Correct Answer alcoholic beverages, perfumes, mouthwash hypoglycemia Is the antidote for ethylene glycol and methanol CNS depression Ethylene glycol - Correct Answer Antifreeze and deicer GI, CNS, renal effects, acidosis Can develop sx after 12 hrs Renal failure causes by calcium oxalate crystals in urine(occlude kidneys)
Give bicarb, antidote: formepizole, ethanol, pyridoxine
Tricyclic - Correct Answer 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
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