Clinical Practice in Pediatrics: Toxicology

I. Principles of Pediatric Toxicology 1. Overview of Childhood Poisoning Poison Control Centers and Pediatrics -a brief history of PCCs -history of pediatricians in poison control Epidemiology of Pediatric Poisoning and Adolescent Substance Abuse Prevention of Childhood Poisoning -anticipatory guidance in the office -effects of legislation, child-proof caps, and "Mr. Yuk" etc. -CPSC, medwatch, etc. 2. Pediatric Drug Metabolism -including drug-drug interactions 3. Diagnosis of Pediatric Poisoning Clinical Approach to the Poisoned Child Toxidromes Laboratory Diagnosis of Poisoning 4. Gastrointestinal Decontamination of the Pediatric Patient -include recommendation on home ipecac 5. Treatment of Pediatric Poisoning Methods to Enhance Elimination of Toxins Advanced Methods of Cardiorespiratory Support 6. Special Considerations Fetus Neonate (including withdrawal) Breastfeeding 7. Child Abuse by Poisoning / Munch.-Syndrome-By Proxy 8. Dangerous Medications and Non- Toxic Exposures 9. Pediatric Preparation for Terrorism II. Pharmaceuticals ANALGESICS/ ANTI INFLAMMATORY / ANESTHETICS 10. Acetaminophen 11. Salicylates and NSAIDs 12. Opiates 13. Topical Analgesics and Anesthetics -include camphor CARDIOV ASCULAR MEDICATIONS 14. Beta-adrenergic and Calcium-channel Antagonists 15. Cardiac Glycosides 16. Clonidine and Alpha-2 Agonists PSYCHOTROPIC MEDICATIONS 17. Cyclic Antidepressants 18. MAOI, SSRI and Other Antidepressant Drugs 19. Antipsychotic Drugs 20. Lithium 21. CNS Depressants -barbiturates, benzodiazepines, etc.