One pill can kill: A toxicology review of unintentional ingestions in toddlers and preschoolers

1.0 NAPNAP Contact Hour. This continuing education activity is offered at a reduced rate to NAPNAP Members. This continuing education activity rate is $10 for NAPNAP Members. For non- members, this continuing education activity rate is $20. Despite safety measures, unintentional ingestions continue to disproportionally affect children less than 5 years of age.  Toddlers and preschoolers are at an increased risk for fatal ingestions, and rapid identification and mitigation of such toxic ingestions is essential to the practice of pediatric-focused providers in the acute care setting.  This presentation aims to review and outline fatal toxidromes in this age group, as well as discuss epidemiological trends of toxic substance ingestions within the context of the COVID-19 pandemic.

This continuing education activity is administered by the National Association of Pediatric Nurse Practitioners (NAPNAP) as an Agency providing continuing education credit. Individuals who complete this program will be awarded 1.0 NAPNAP contact hour, of which 0 is pharmacology content.

IMPORTANT: This continuing education activity is offered at a reduced rate to NAPNAP Members. You must be logged in using your NAPNAP Username and Password to be recognized as a Member of NAPNAP. If you are a current member of NAPNAP, and you are being asked to purchase this activity at the Non-Member rate, please contact the NAPNAP National Office at (877) 662-7627 to request assistance prior to entering any payment information. 

Participants are forbidden to reproduce, republish, redistribute, or resell this course in any other form. For copyright-related questions, please email your question to:

Copyright 2021 © by National Association of Pediatric Nurse Practitioners (NAPNAP).

Target Audience

Pediatric-focused advanced practice registered nurses

Learning Objectives

  • Define commonly ingested substances for children under 5 years of age and the most fatal unintentional ingestions for the toddler age group.
  • Recognize common toxidromes and discuss corresponding acute management and emergency stabilization.
  • Discuss the effects of the COVID-19 pandemic on incidence and epidemiology of pediatric unintentional ingestions.
Course summary
Available credit: 
  • 1.00 Contact hours
Course opens: 
Course expires: 

Ashleigh Bowman, DNP, CPNP-AC
Dr. Ashleigh Bowman is a certified pediatric acute care nurse practitioner who has been practicing since 2016 in the pediatric emergency department and joined the University of South Alabama in Mobile, Ala., as full-time faculty in 2019. She enjoys teaching undergraduate and graduate students, specifically on the topics of pediatric nursing/advanced practice nursing and healthcare policy. She completed her doctor of nursing practice degree in 2018 and has been actively involved in the continual process of improvement for the pediatric emergency department, most recently serving in an integral role in designing and implementing a pediatric SANE program. She is an active advocate within healthcare policy for her patients and the profession both at the state and national level.

Available Credit

  • 1.00 Contact hours


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