A child who has been playing in a public park is brought to the clinic with
wheezing, vomiting, diarrhea, and drooling. A physical exam reveals a low heart rate and diaphoresis. What will the primary care pediatric nurse practitioner suspect as a cause for these symptoms?

Question

Quizplus · Accepted Answer

The combination of symptoms (wheezing, vomiting, diarrhea, drooling, low heart rate, and diaphoresis) are indicative of organophosphate exposure. Organophosphates are commonly used in pesticides, and exposure can occur through ingestion, inhalation, or skin contact. Symptoms can range from mild to severe and may include respiratory distress, gastrointestinal symptoms, neurological symptoms, and cardiac abnormalities. Arsenic consumption can cause similar symptoms, but this is less likely in a public park setting. Lead poisoning and phthalate ingestion are associated with different symptoms and would be less likely to present with wheezing or drooling.

A Child Who Has Been Playing in a Public Park