Help with care plan?

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I wa wondering if I could get some advice on a care plan I need to do. I need to come up with the priority Dx for a 2 year old that has been fed multivitamins by his 5 yr old brother. The mom brought the child in expecting to give him Ipecac and get sent home, but he is admitted to hospital. He has 2 brothers 5 and 7 who are being taken care of by a neighbour temporarily and the mom is eager to get home to them. The dad is away long periods of time for work and isn't very close to the kids.

I'm having trouble deciding what the priority Dx is. I was thinking Risk for Poisoning...but then he has already been poisoned, hasn't he?... or knowledge deficit r/t poisoning...or possibly something to do with coping in the hospital but I am just not sure. Am I totally off the mark? What do you think?

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Oh and the multivitamins have iron

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Specializes in med/surg, telemetry, IV therapy, mgmt.

http://www.emedicinehealth.com/iron_poisoning/article_em.htm - Iron poisoning

Iron in a 2-year olds stomach can be, according to the above website, corrosive. They might do gastric lavage. They might give laxatives. Any of these diagnoses can be used depending on the symptoms the patient has:

  • Deficient Fluid Volume R/T vomiting and GI bleeding
  • Nausea E/T irritation of gastric mucosa
  • Diarrhea R/T effect of iron ingestion
  • Acute Pain R/T irritation of gastric mucosa

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Thanks, that definitely helps!!:yeah:

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