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126 results for

Syrup of Ipecac

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41. Gastrointestinal Foreign Bodies (Treatment)

. Patients with foreign bodies in the stomach should not be administered syrup of ipecac. Cases have been reported of the foreign body becoming lodged in the esophagus after ipecac administration. Body packers are at risk of death if the packets of the illicit substance rupture. Such patients should be hospitalized and whole bowel irrigation (ie, Go-Lytley) considered. Consultation with a specialist from a poison control center is recommended. Next: Surgical Therapy Because the diagnosis, decision

2014 eMedicine Pediatrics

42. Toxicity, Iron (Diagnosis)

Toxicol (Phila) . 2018 Dec 21. 55 (10):1-203. . . [Guideline] Höjer J, Troutman WG, Hoppu K, Erdman A, Benson BE, Mégarbane B, et al. Position paper update: ipecac syrup for gastrointestinal decontamination. Clin Toxicol (Phila) . 2013 Mar. 51(3):134-9. . Tenenbein M. Benefits of parenteral deferoxamine for acute iron poisoning. J Toxicol Clin Toxicol . 1996. 34(5):485-9. . Sankar J, Shukla A, Khurana R, Dubey N. Near fatal iron intoxication managed conservatively. BMJ Case Rep . 2013 Jan 31. 2013

2014 eMedicine Emergency Medicine

43. Toxicity, Anticholinergic (Diagnosis)

ipecac syrup. In patients with recent (< 1 hour), clinically significant ingestions that are anticipated to result in moderate-to-severe anticholinergic toxicity, single-dose activated charcoal may be administered to minimize absorption of the ingested medication. In patients with depressed level of consciousness or impaired airway reflexes, definitive control of the airway (endotracheal intubation with a cuffed endotracheal tube) should be obtained prior to adminstration of activated charcoal via

2014 eMedicine Emergency Medicine

44. Toxicity, Antihistamine (Diagnosis)

them down the toilet. Medication should be considered "medicine," not a toy or candy. Medicine should never be referred to as candy and, if possible, not administered in front of other children. Parents, relatives, and friends also should childproof their homes. Although ipecac syrup has fallen into disfavor in some medical circles, it is still recommended that parents have it readily available in the home for use with medical direction from a physician or poison control center. In instances

2014 eMedicine Emergency Medicine

45. Pediatrics, Foreign Body Ingestion (Treatment)

that is required. Patients with drooling may require suction. Children benefit by being allowed to remain with their parents and being allowed to assume a position of comfort. Although a theoretical risk of spontaneously vomiting and then aspiration of a foreign body exists, this is unusual. Children should not routinely be intubated to protect their airways. Similarly, do not attempt to dislodge a foreign body from a spontaneously breathing patient by giving abdominal thrusts or syrup of ipecac. If available

2014 eMedicine Emergency Medicine

46. Toxicity, Mushroom (Follow-up)

medications. If patients are severely agitated, anxiolytics (eg, benzodiazepines) may be needed. For seizures lasting longer than 5 minutes, various anticonvulsants have been used. It should be kept in mind that respiratory depression has been reported when these agents are administered IV. Preparations must therefore be made to support the airway if necessary. [ ] Ipecac syrup should generally be avoided. Central nervous system (CNS) symptoms develop relatively rapidly after ingestion of ibotenic acid (...) −containing mushrooms, and evidence for the effectiveness of ipecac in this setting is lacking. With A muscaria poisoning, despite the implications of the species name, few muscarinic effects are observed; consequently, anticholinergic drugs such as atropine are rarely, if ever, needed. Fever in this setting should not be treated with antipyretics; it is probably the result of agitation and increased motor activity. Previous Next: Prevention Cautious mushroom hunters eat only 1 type of mushroom and save

2014 eMedicine Emergency Medicine

47. Toxicity, Iron (Follow-up)

(10):1-203. . . [Guideline] Höjer J, Troutman WG, Hoppu K, Erdman A, Benson BE, Mégarbane B, et al. Position paper update: ipecac syrup for gastrointestinal decontamination. Clin Toxicol (Phila) . 2013 Mar. 51(3):134-9. . Tenenbein M. Benefits of parenteral deferoxamine for acute iron poisoning. J Toxicol Clin Toxicol . 1996. 34(5):485-9. . Sankar J, Shukla A, Khurana R, Dubey N. Near fatal iron intoxication managed conservatively. BMJ Case Rep . 2013 Jan 31. 2013: . Carlsson M, Cortes D, Jepson S (...) texture and may be difficult to remove by lavage. Whole-bowel irrigation may be used in patients with a radiopacity on kidneys, ureters, bladder (KUB) plain radiographs, until the radiopacity clears. Ipecac has been used for gastric decontamination in patients with iron poisoning. Ipecac might be considered when it can be administered within 60 minutes of iron ingestion, in an alert patient who has ingested a very large amount of iron. Ipecac is not used routinely for iron removal because it can mask

2014 eMedicine Emergency Medicine

48. Toxicity, Mushrooms (Follow-up)

medications. If patients exhibit excessive bronchial secretions or other symptoms of cholinergic excess (bradycardia) that are of significant concern, atropine may decrease these symptoms. If the patient presents within 1 hour of ingestion, oral administration of activated charcoal may be considered, [ ] but adsorption to activated charcoal has not been demonstrated for these constituents. [ ] No evidence suggests that routine administration of multiple doses of activated charcoal is useful. Ipecac syrup

2014 eMedicine Emergency Medicine

49. Plant Poisoning, Resins (Follow-up)

== processing > Poisoning by Plant Resin Treatment & Management Updated: Feb 12, 2019 Author: Hagop A Isnar, MD, FACEP; Chief Editor: Asim Tarabar, MD Share Email Print Feedback Close Sections Sections Poisoning by Plant Resin Treatment Prehospital Care Plant parts or information regarding surroundings obtained by prehospital providers may be helpful in identifying the suspected toxin. Rinse mouth in cases of mucosal irritation to help alleviate symptoms. Induced vomiting with ipecac syrup is discouraged (...) , particularly in cases with potential for altered mental status. Next: Emergency Department Care Airway, breathing, and circulation must, above all else, be ensured. Remove any remaining toxin. Ipecac syrup is not recommended. Gastric lavage is unlikely to be effective for removal of plant parts. Activated charcoal may be of benefit, particularly if administered within the first several hours; however, it may be of little benefit with rapidly absorbed substances such as teas. Hemodialysis has not been

2014 eMedicine Emergency Medicine

50. Plant Poisoning, Alkaloids (Follow-up)

. Ideally, activated charcoal should be administered within 30 minutes of the ingestion. A single dose usually is adequate. Induction of emesis with ipecac syrup provides little benefit and is associated with increased risk of aspiration if the patient's mental status declines and is therefore not recommended. Similarly, gastric lavage, while useful in poisonings with risk of substantial morbidity or mortality, is not recommended for isoquinoline or quinolizidine alkaloid exposure as risks

2014 eMedicine Emergency Medicine

51. Toxicity, Iron (Diagnosis)

Toxicol (Phila) . 2018 Dec 21. 55 (10):1-203. . . [Guideline] Höjer J, Troutman WG, Hoppu K, Erdman A, Benson BE, Mégarbane B, et al. Position paper update: ipecac syrup for gastrointestinal decontamination. Clin Toxicol (Phila) . 2013 Mar. 51(3):134-9. . Tenenbein M. Benefits of parenteral deferoxamine for acute iron poisoning. J Toxicol Clin Toxicol . 1996. 34(5):485-9. . Sankar J, Shukla A, Khurana R, Dubey N. Near fatal iron intoxication managed conservatively. BMJ Case Rep . 2013 Jan 31. 2013

2014 eMedicine.com

52. Toxicity, Thyroid Hormone (Treatment)

correction of dehydration and control of hyperthermia. Important treatment points: Ipecac syrup is no longer recommended for home or hospital treatment. Asymptomatic patients should not be treated empirically with beta-blockers. Chronic overdose—withdraw drug. Use acetaminophen for fever control; aspirin is contraindicated because it displaces T4 from thyroid-binding globulin (TBG), increasing free T4. Because of the delayed conversion to T3 and distribution to tissues, patients must be observed

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2014 eMedicine Emergency Medicine

53. Toxicity, Sedative-Hypnotics (Treatment)

=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODE4NDMwLXRyZWF0bWVudA== processing > Sedative-Hypnotic Toxicity Treatment & Management Updated: Dec 29, 2015 Author: Jeffrey S Cooper, MD, FAAEM, FACEP; Chief Editor: Asim Tarabar, MD Share Email Print Feedback Close Sections Sections Sedative-Hypnotic Toxicity Treatment Prehospital Care See the list below: Establish ABCs, obtain IV access, provide oxygen, and perform aggressive supportive care with airway protection as necessary. Ipecac syrup is not recommended for home use because of the fear of emesis after

2014 eMedicine Emergency Medicine

54. Toxicity, Mushrooms (Treatment)

medications. If patients exhibit excessive bronchial secretions or other symptoms of cholinergic excess (bradycardia) that are of significant concern, atropine may decrease these symptoms. If the patient presents within 1 hour of ingestion, oral administration of activated charcoal may be considered, [ ] but adsorption to activated charcoal has not been demonstrated for these constituents. [ ] No evidence suggests that routine administration of multiple doses of activated charcoal is useful. Ipecac syrup

2014 eMedicine Emergency Medicine

55. Toxicity, Cyclic Antidepressants (Treatment)

should be avoided in patients with CA toxicity: The use of physostigmine in CA poisoning has been associated with complete heart block, asystole, and hypotension Ipecac syrup is not recommended as the procedure in GI decontamination because of the possibility that patients experience sudden neurologic deterioration (eg, lethargy, seizures) and aspirate The use of type IA and IC antidysrhythmics or other sodium channel blockade agents may exacerbate toxic effects of CAs on the myocardium The use

2014 eMedicine Emergency Medicine

56. Toxicity, Clonidine (Treatment)

is present on the skin, remove it and wash the exposed area. Initiate standard naloxone therapy and blood glucose checks. Continuous electrocardiographic (ECG) monitoring should carry over to the emergency department (ED). Prehospital ipecac syrup administration is contraindicated. Next: Emergency Department Care Focus initial treatment on the ABCs. Clonidine toxicity can cause serious respiratory depression and apnea requiring immediate endotracheal intubation and mechanical ventilation. Once the airway

2014 eMedicine Emergency Medicine

57. Toxicity, Cocaine (Treatment)

been ingested (not as part of body packing or body stuffing), the patient without altered mental status may be treated by administration of activated aqueous charcoal. Gastric lavage and induction of vomiting via ipecac syrup are not recommended because of the risk of seizure, with the potential for airway compromise and aspiration of vomitus. Previous Next: Body Packing and Body Stuffing In body packers, although a risk for toxicity exists, the drugs are often carefully packaged to prevent rupture

2014 eMedicine Emergency Medicine

58. Toxicity, Beta-blocker (Treatment)

are essential. Prehospital administration of charcoal is indicated when there are no contraindications and the patient is alert and cooperative. If there is any alteration of mental status or concern that the patient may have a precipitous change in status, it is advisable to withhold charcoal. [ ] Ipecac syrup is contraindicated. Previous Next: Emergency Department Care If the patient is hypotensive, administer 20 mL/kg of isotonic intravenous fluids and place the patient in the Trendelenburg position

2014 eMedicine Emergency Medicine

59. Toxicity, Barbiturate (Treatment)

of a few specific antidotes has decreased the mortality rate in unselected overdose patients to less than 1% if the patient arrives at the hospital in time for the clinician to intervene. [ ] Although multiple doses of activated charcoal (MDAC) have been shown to enhance elimination of phenobarbital and to reduce the serum half-life, a definite improvement in clinical outcome has not been shown in any studies using MDAC. Induction of emesis with ipecac syrup is contraindicated in these patients because

2014 eMedicine Emergency Medicine

60. Toxicity, Antihistamine (Treatment)

them down the toilet. Medication should be considered "medicine," not a toy or candy. Medicine should never be referred to as candy and, if possible, not administered in front of other children. Parents, relatives, and friends also should childproof their homes. Although ipecac syrup has fallen into disfavor in some medical circles, it is still recommended that parents have it readily available in the home for use with medical direction from a physician or poison control center. In instances

2014 eMedicine Emergency Medicine

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