The child is prescribed Acetaminophen 400mg PO q4h for 24 hours for fever. They weigh 60 pounds.

Safe dose range: Acetaminophen 10-15 mg/kg/dase PO q4-6h.

Available Concentration: 325 mg per 10.15 mLs

How many mg will the child receive in one 24-hour period? Round your answer to the nearest whole number _________mg

Rationale:

A. "I will place number fo Poison Control on my refridgerator where it is easily visible, in case I need it.": Keeping the Poison Control number in a visible, accessible location is an important preventive measure. It allows caregivers to quickly obtain expert advice if accidental ingestion occurs, potentially preventing harm.

B. "I will lock up prescription medications so they are out of reach, but my vitamins are okay to keep in the kitchen since they cannot cause any harm.": Vitamins, especially those containing iron, can be toxic to young children. All medications and supplements should be securely stored out of reach to prevent accidental ingestion.

C. "If I suspect my child has ingested toxic substance I will not wait to get help. I will drive them to the ER immediately to be evaluated.": Immediate medical attention is important, but calling Poison Control first can provide critical guidance on emergency transport or other interventions. Driving without calling first may delay appropriate treatment.

D. "If I suspect my child has ingested a toxic substance, I will attempt to make them throw up, put them on their side and then call 911.": Inducing vomiting is dangerous and not recommended, as it may cause aspiration or worsen injury.

Rationale:

A. Bradycardia: Bradycardia is a late sign of increased ICP and typically appears after other symptoms like changes in behavior or consciousness have developed. Early detection focuses more on neurological changes rather than vital sign alterations.

B. Restlessness and confusion: These are early neurological signs indicating altered cerebral function due to increased ICP. Changes in behavior, such as irritability, restlessness, and confusion, often precede vital sign changes and are key for prompt intervention.

C. Large amounts of very dilute urine: This finding suggests possible diabetes insipidus or fluid imbalance, which can occur with severe brain injury but is not an early indicator of increased ICP specifically. It is not a primary sign for monitoring ICP.

D. Widened pulse pressure: Widened pulse pressure is part of Cushing’s triad, a late and serious sign of increased ICP that occurs after the brainstem is compromised. Early signs are more subtle and neurological rather than cardiovascular.