1answer.
Ask question
Login Signup
Ask question
All categories
  • English
  • Mathematics
  • Social Studies
  • Business
  • History
  • Health
  • Geography
  • Biology
  • Physics
  • Chemistry
  • Computers and Technology
  • Arts
  • World Languages
  • Spanish
  • French
  • German
  • Advanced Placement (AP)
  • SAT
  • Medicine
  • Law
  • Engineering
Svetradugi [14.3K]
1 year ago
8

A two-year-old boy was brought to the emergency department because of vomiting. About 30 minutes prior, he was found by his pare

nts with an open bottle containing ferrous fumarate tablets. The mother estimates about five tablets are missing, and each tablet contains 65 mg of elemental iron. The boy had three episodes of non-bloody vomiting. The physical examination is essentially normal except for tachycardia. Which of the following is the next best step?
get serum iron level four hours after ingestion
The patient has symptoms and a history compatible with iron toxicity. The severity of an exposure is related to the amount of elemental iron ingested. Ferrous sulfate contains 20 percent elemental iron, ferrous gluconate has 12 percent, and ferrous fumarate contains 33 percent. Iron is directly corrosive to the GI mucosa, which can lead to hematemesis, melena, ulceration, infarction, and potential perforation. For significant ingestions (> 20 mg/kg of elemental iron), especially when tablets are identified on the abdominal radiograph, whole-bowel irrigation with a polyethylene glycol electrolyte lavage solution (PEG-ELS) is routinely recommended. Iron toxicity is described in four stages. The initial stage, 30 minutes to six hours after ingestion consists of profuse vomiting and diarrhea, abdominal pain, and significant volume losses, leading to potential hypovolemic shock. The second stage, six to 24 hours after ingestion, is the quiescent phase where GI symptoms typically resolve. In the third stage, occurring 12 to 24 hours after ingestion, patients develop multi-system organ failure, shock, hepatic and cardiac dysfunction, acute lung injury, and profound metabolic acidosis. Symptomatic patients and patients with a large exposure by history should have serum iron levels drawn four to six hours after ingestion. Serum iron concentrations of < 500 µg/dL four to eight hours after ingestion suggest a low risk of significant toxicity, whereas concentrations of > 500 µg/dL indicate significant toxicity.
Medicine
1 answer:
anygoal [31]1 year ago
3 0

Obtaining a serum iron level 4 hours after consumption would be the best course of action.

The GI mucosa is immediately corroded by iron, which can result in hematemesis, melena, blistering, infarction, & possible perforation. The quantity of elemental iron consumed affects how severe the exposure is. 20 percent of the elemental iron is present in ferrous sulfate, 12 percent is present in ferrous gluconate, and 33 percent is present in ferrous fumarate.

Serum iron levels should be measured 4 to 6 hours after intake in individuals who are symptomatic or who have had significant exposure in the past. From 4 to 8 hours after administration, serum iron levels of less than 500 g/dL indicated a low risk of substantial toxicity, but values of more than 500 g/dL signify serious toxicity.

To know more about overdose at

brainly.com/question/11456380?referrer=searchResults

#SPJ4

You might be interested in
A nurse at a long-term care facility is conducting a medication reconciliation for a man who has just moved into the facility. T
Valentin [98]

It is very reasonable for the nurse to believe that this individual taking clopidogrel, has a background of coronary artery disease.

What is the function of the clopidogrel drug?

  • It is an antiplatelet drug. It stops platelets, a kind of blood cell, from congregating and creating a potentially harmful blood clot.
  • If one has a higher risk of developing blood clots, using clopidogrel can help.
  • Clopidogrel has been shown to reduce the risk of myocardial infarction, stroke, and vascular mortality in people with atherosclerosis and in those who have had coronary stents implanted.
  • ITP, CVA, and hemophilia are not suggested conditions to be treated with it.

When not to use clopidogrel?

For some folks, clopidogrel is not a good choice. In order to ensure that this medication is safe for you, let your doctor know if you:

  1. possess an ulcer in the stomach or have had ulcers in the past
  2. have experienced brain bleeding (a brain hemorrhage)
  3. having a bleeding condition, such as hemophilia

Learn more about such problems here:

brainly.com/question/8944822

#SPJ4

8 0
1 year ago
The blank question I need help
-BARSIC- [3]

Answer:

beloved i think

Explanation:

Bloodborne Pathogens means pathogenic microorganisms that are present in human ... non-intact skin, or parenteral contact with blood or other potentially infectious ... whose legally permitted scope of practice allows him or her to independently ... Additional training requirements for employees in HIV and HBV

4 0
3 years ago
Read 2 more answers
The physical activity health guidelines require metabolizing about _____ calories during moderate physical activity during most
Novay_Z [31]

The physical activity health guidelines require metabolizing about <u>150 to</u> <u>400</u> calories during moderate physical activity on most days of the week.

The intake of calories in the food provides the energy to do work. A very low intake of calories may result in weight loss and too much of it can make you obese. Physical activities like exercise, cycling, and jogging are necessary to burn calories.  

According to the physical activity health guidelines, adults must do moderate physical activity for at least 2hr a week. And 1 hr intense aerobic exercise a week to burn the calories.

Learn more about Physical activities here,

brainly.com/question/14338730

#SPJ4

7 0
1 year ago
there are ____________ different types of brain waves. the absence of brain waves is a medical criterion to determine __________
Yuri [45]
There are four brain waves. They determine brain death. :)
5 0
2 years ago
A female admitted with a possible Deep Vein Thrombosis (DVT), smokes one pack per day and is on birth control, history of hypert
lesya692 [45]

Answer:

Yes, both Coumadin and Heparin can be given at the same time.

Explanation:

Both Coumadin and Heparin can be given at the same time. Heparin is is a blood thinner (anti-coagulant) used to prevent and treat blood clots.The patient has been diagnosed with Deep Vein Thrombosis (DVT) which is the formation of blood clot in a vein located deep in the body (usually the lower thigh or leg). The heparin drip she is being administered will help treat the blood clot

Coumadin is also an anticoagualnt and is used for treating blood clotts. However, it takes days (about 3-4) before the treatment starts to work. It stops the synthesis of the four vitamin K–dependent clotting factors in the liver (factors II, VII, IX, X).

Both Heparin and Coumadin are overlapped for at least five days as they work differently. The Heparin is discontinued after anticoagulation occurs and the client starts to be treated with coumadin.

5 0
3 years ago
Read 2 more answers
Other questions:
  • One year, heavy rain makes Lake Raymond very deep. The next year, however, rain is very light, and not much water is left in Lak
    10·2 answers
  • Lymphatic organ that removes pathogens by filtering blood is the
    6·1 answer
  • Overregulation is a common error among children learning to speak a
    8·2 answers
  • A lil help from the homies?:((
    9·1 answer
  • What is a common symptom that people describe when they tear their acl. What will they hear?
    8·2 answers
  • What is the difference between albuterol inhaler and salbutamol inhaler
    10·1 answer
  • A 15-month-old child with the diagnosis of hydrocephalus is to undergo computed tomography (ct). What action should the nurse in
    8·1 answer
  • hich condition would require an adjustment in the recommended intake of protein that differs from the RDA
    8·1 answer
  • quizlet studies on the effect of exercise on cholesterol typically reported only a modest overall cholesterol reduction, but in
    6·1 answer
  • most health experts recommend only eating tuna a few times a week and only eating shark a few times a month. why would health ex
    10·1 answer
Add answer
Login
Not registered? Fast signup
Signup
Login Signup
Ask question!