Nursing Study Guide for Lead Poisoning in Pediatrics
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Preventable environmental health threat
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Results in ↑ blood lead levels 5+ mcg/dL
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Imported candies
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Paint in homes > 1978
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Dust from window sills, walls, & plaster in old homes
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Certain folk remedies for GI issues (arzacon)
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Soil w/ past of cars that used leaded gas
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Glazed pottery & stained-glass products
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Old painted toys or furniture
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Lead pipes supplying water
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Parent clothing w/ manufacturing job
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Serum Lead Levels
- ≥ 5 mcg/dL |
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Serum Lead Levels
- ≥ 70 mcg/dL = hospitalization |
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Cognitive impairments
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Inattentiveness, hyperactivity, irritability
- Misdiagnosed as ADHD |
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Headaches
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Hearing Problems
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Language & speech problems
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Stomach pain
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↓ bone & muscle growth
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Poor muscle coordination
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Seizures
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Chelation Therapy w/ deferoxamine
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If lead > 70 mcg/dL + hospital
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SQ infusion over several hrs
- At night if home |
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May d/c to PO deferasirox if going home {nl} - PO once daily
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Perform risk assessment
- If (+) → send blood for lead levels |
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If lead levels > 70 mcg/dL → hospitalize & begin chelation therapy, maybe dialysis
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May need early intervention program for further eval & Tx of developmental delays
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Ensure lead removal of home & environment
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Refer to developmental centers
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Ensure adequate fluid intake
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Monitor I&O closely
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Dissolve PO tablet in juice or water & admin once daily
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