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    ROUP IV

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    EAD POISONING

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    ,occurs when lead builds up in the body.often over a period of months or years

    Even small amounts of lead can cause.serious health problems Children under

    the age of 6 are especially vulnerable to,lead poisoning which can severely affect

    .mental and physical development At very, .high levels lead poisoning can be fatal

    - -Lead based paint and lead contaminateddust in older buildings are the most

    common sources of lead poisoning in.children

    Other sources of lead poisoning include, , ,contaminated air water soil and some

    toys .and cosmetics

    HAT IS LEAD POIS

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    igns and Symptoms in C

    BDOMINAL PAIN VOMITING

    OSS OF APPETITE

    LETHARGY

    EIGTH LOSS

    EARNING DISABILITIES

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    aint in older home

    HAT CAUSES LEAD POIS

    xposure to lead

    ngestion of leadhildren s Toys

    ontaminated soilead Pipes

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    IAGNOSTIC TESTLOOD TESTA lead test is used to determine the amount of lead in the blood.

    Doctors determine whether to do a blood lead test and when based ona child's risk for lead poisoning. Those who are considered at risk such as kids who live in cities or in houses built before 1978 (the year

    that regulations began requiring that lead-containing paints could notbe used in households) or who are exposed to lead through a parent'soccupation are usually tested at ages 1 and 2 years, and mightrequire additional testing until age 6. The blood sample will be

    processed by a machine. The results of routine blood lead screening

    tests are usually reported within a few days.

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    -EAD POISONING EXAM TE

    Diagnosing lead poisoning can be difficult,especially because its symptoms are so general. Ablood lead test can detect the amount of lead in the

    blood. If your doctor suspects lead poisoning, he orshe will take at least two blood tests to confirm it.This test does not measure the complete level of leadin the body, but it is usually the first test done.

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    Other tests that can be helpfulif lead poisoning is suspected

    :include

    ( )mplete blood count CBC

    BUN or creatinine tests Urine test

    -Abdominal X rays

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    ENT FOR LEAD POISONING BEGINS WITH

    REMOVINGTHESOURCESOFLEAD REMOVINGTHESOURCESOFLEAD PROVIDINGBALANCEDNUTRITION PROVIDINGBALANCEDNUTRITION&CHELATIN THERAPY

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    ( / )LL MCG DL ACTION

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    5 69 ,ithin 48 hours provideoordination of care and clinical, ,anagement including treatment,nvironmental investigation and.ead hazard control

    70 Immediately provide medical treatment,and begin coordination of care clinical

    , ,management environmental investigation- .and lead hazard control

    helation Therapy is the term used for removing lead, ,from circulating blood and theoretically some lead from

    .organs and tissues

    rugs for Chelation (British antilewisite or BAL dimercaprol or) dimercaptopropanol given deep IM injection

    Calcium sodium edentate or EDTA given through IV orIM

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    educing Blood lead levelsMake certain child does not have access to peeling paint

    - ,or chewable surfaces painted with lead based paint.especially window sills and wells

    , Wash and dry child s hands and face frequently especially

    .before eating. Wash toys and pacifiers frequently

    u r s i n g C a r e M a n a g e m e n t

    Careful history taking is one of the most useful andvaluable tools and should concentrate on the personal risk.questions

    , .Chelation therapy is required compliance is paramountChildren who received multiple injections deserve an

    explanation of the treatment and may benefit from medical.play to understand how injections are administered

    Thorough education of families regarding from the safety.from lead hazards

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    Nursing

    Diagnoses