Paediatric Poisoning & Drug overdose. Done by: Dr. Abed Alhalim Shamout. Objectives. General management principles for ingestions and toxic exposures. The principles of gastric decontamination. The substances of low toxicity in pediatrics
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Done by: Dr. Abed Alhalim Shamout
the time of ingestion,the childs present condition.
1) Quickly assess the potential danger.
induced emesis or gastric lavage, especially if performed 60minutes or longer after ingestion.
a. Observe the asymptomatic child for an appropriate interval (usually 4-6 hours).
b. Consider evaluation of the home situation, especially in accidental ingestions in children < 14-16 months or > 5 years of age.
c. Intentional ingestions in adolescents, especially girls, raises the possibility of unwanted pregnancy, or sexual or physical abuse; these children require careful psychiatric evaluation for suicide risk.
d. Because repeat ingestions occur, all parents require instructions about poisonprevention techniques.
Phenformin ,Paraldehyde, Iron
Isoniazid, Lactic acidosis, Ethanol
Ethylen glycol, and Salicylates.
Hypoxia and hypercapnia.
Mechanical injury to the throat, esophagus, and stomach.
Fluid and electrolyte imbalance.
Overdose or Ingestion within 1 hour
Specific overdose after 1 hour
Ingested drug slows peristalsis
Ingested drug of:
1.Absent bowel sounds 2. Recent abdominal surgery or trauma
3.Intestinal Obstruction 4. Dehydration
B.Poison ingestion of corrosive substance
C.Poison ingestion with Diarrheal adverse effects
1.Organophosphate 2. Carbamate 3.Heavy metal poisoning
a. severe Methemoglobinemia b.Hemolysis
Bathtub floating toys
Battery (Dry cell)
Bublle bath soap
Hand lotion and creams
Pencils (lead and coloring)
Shaving creams and lotions
Shoe polish(occasionaly aniline dyes)
Striking surface materials of matchboxes
Matches(+20wooden matches )
No treatment required
Remove if large amount
2ml of 10%gel
One 500mg tablet
Three 60mg tab
One swallow if aspirated
Two 5mg glyburide tab
One 150 mg tab
Ten adult strength tab
Two teaspoons 10ml
Less than 5ml oil of witergreen
One 500mg tablet
One 200mg tab
One –two 240mg tabPotent Pediatric Poisons
To be continued in part II
ما كان من توفيق فمن اللــه وحـده , وما كان من خطأ أو سهـو أو نسيــان فمنـي ومن الشيــطان .
واللــه ولـي التوفيــق