Paed: Poisioning

Question 1

Why are children at high risk of posionsing?

Answer 1

1. Toddlers exploratory hand to mouth
2. Neonate Immature metabolic capabilities
3. Doing errors
4. Breast fed infants in breast milk
5. Small body size = lower total dose to cause harm

Question 2

ONE PILL CAN KILL LIST… 8!!!!

Answer 2

1. Calcium channel blockers
2. Anti arrhythmics
3. Colonidine
4. Antimalarials (hydrochloroquine)
5. Opioids
6. Sulfinylureas
7. TCAs
8. Beta blockers

Question 3

Which drug is the leading cause of hospital admission from poisoning of children under 5 years?

Answer 3

Clonidine!

Originally a hypertensive

Used for behavioural disturbances

Dose: 2-4 mcg/kg

Toxic dose: 5mcg/kg! (Narrow)

Question 4

Toxic dose of paracetamol?

Answer 4

200mg/kg

Don’t wait for blood test when suspect this… make risk assessment and give antidote (N-acetylcysteine),