Pediatric considerations in Toxicology


Background

Pathophysiology

Diagnosis

Nontoxic Ingestions

Background

Pathophysiology

Diagnosis

Common Ingestions that are Nontoxic

  1. Analgesics- 100 mg./kg. of acetaminophen, aspirin, or ibuprofen
  2. Antihistamines- 2 daily doses
  3. Antibiotics- Usually nontoxic unless massive amounts.
  4. Antitussives- 3 mg/kg of codeine and 5 mg/kg of dextromethorphan
  5. Cigarettes and butts- usually induce vomiting This often prevents toxic ingestion in itself.
  6. Cosmetics
  7. Iron- 20 m./kg of elemental iron
  8. Hydrocarbons- if asymptomatic at the time of ingestion ( CNS, respiratory, GI) child will unlikely need medical evaluation at the time of ingestion and may be watched at home for any development of respiratory symptoms (coughing, dyspnea, wheezing), or lethargy
  9. Household Cleaners
  10. Vitamins without iron
  11. Antacids
  12. Dishwashing liquid soap
  13. Bleach 5%
  14. Ink. pencils, crayons, clay, perfumes, chalk
  15. Rodenticides that contain warfarin usually take a very large ingestion to cause bleeding effects
  16. Plants- most household plants are nontoxic or cause only mild oral burns.