Lead Poisoning
Treatment
Prevention
Risk Factors
Nursing Role
100
A corrosion – resistant, dense and a very toxic metal
What is Lead?
100
Removing the source of contamination
What is the first step in treating lead poisoning?
100
Assist families to identify sources and history taking should help determine risks
What is the #1 goal to prevent initial exposures or further exposures to lead
100
The children that live in old houses (prior to 1978) that have chipped paint **They love to put objects and fingers in there mouth**
What children are at the highest risk of lead poisoning?
100
Abdominal pain, abdominal cramps, aggressive behavior, constipation, sleep problems, headaches, irritability, loss of appetite, fatigue, high BP, numbness or tingling, memory loss, anemia, and kidney dysfunction
What are symptoms of lead poisoning the nurse should assess for?
200
Lead based paint, art supplies, toys, contaminated dust and some make-up
What is lead found in?
200
A medication that binds with the lead so that it's excreted in urine
What is Chelation therapy?
200
Household dust is a major source of lead. To prevent lead poisoning from dust, floors should be mopped every ______
What is every 2-3 weeks?
200
Toys made and painted outside the US, bullets, curtain weights, fishing sinkers, art supplies, soil polluted by car exhaust
What are two other sources besides house paint that have contain lead?
200
Venipuncture
What method should the nurse use for screening for lead poisoning?
300
Children under the age of 6
What is the most at risk age group for lead poisoning?
300
EDTA is given by injection, Chelation is orally.
What is the difference between Chelation therapy and EDTA chelation therapy?
300
A diet rich in calcium and iron, eat regularly
What one should consume to reduce blood lead levels?
300
The ethnic group that is at a higher risk of lead poisoning is ________
What is African Americans?
300
KIDNEY FUNCTION
What should the nurse monitor for before, during and after Chelation therapy?
400
10 mcg/dl and above.
What is the of concern lead level?
400
Succimer - 19 day oral treatment that capsules can be opened and sprinkled over food
What is the Chelation Medication used for mild or Asymptomatic cases?
400
Your state and local health department.
Who you would call if you suspect your house is contaminated with lead?
400
True or False? Having a positive lead blood level of 5mcg/dl put you at risk?
What is True?
400
Anemia, glycosuria & proteinura
What are chronic signs the RN should assess for with lead poisoning?
500
True or False? It possible for a child to have lead exposure from more then one source?
What is True?
500
When removing old lead paint, should you remove it, or seal in the paint?
Seal in the old paint!! Removing it makes lead contaminated dust!
500
True or False: You can use hot tap water for cooking, drinking and making baby formula?
FALSE: use only cold water. Most of the lead in household water usually comes from the plumbing in your house, not from the local water supply.
500
Existing iron deficiency anemia can make children at higher risk
What is because the child is able to absorb lead more readily?
500
5-14mcg/dl
What mcg/dl should the nurse begin lead poisoning education?
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