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gut exposure (oral adsorbent (indications (After completion of emesis or…
gut exposure
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gastric lavage
contraindications
- Unconscious patient unless intubated (risk aspiration)
- Caustic ingestion or hydrocarbons with a high aspiration potential
indications
this is the most effective when ingestion of the poison was less than 1 hr before commencing tt ,, although larger time frame is allowed for slow release formulation, or drugs that slowgastric empting rate
Complications
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- Profound bradycardia and cardiac arrest in case of propranolol, Ca ch blockers and other drugs affecting cardiac conduction (use atropine)
emesis
indications
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ingested subs are not well adsorbed by the activated charcoal ( e.g : enteric coated tablets or sustained release tablets
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contraindications
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CNS depression-patients who are lethargic or unresponsive or are otherwise unable to protect their airway adequately are at risk of pulmonary aspiration
Causticingestions-osophagealand oropharyngealmucousmembranesmay be further damaged if they are re-exposed to caustic solids or liquids upon emesis
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-Ingestion of petroleum distillates-systemic toxicity from low viscosity agents (e.g., mineral seal oil) is low, but the risk of aspirationis high when vomiting is induced