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120 results for

Syrup of Ipecac

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41. 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.com

42. Toxicity, Mushroom (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.com

43. Plant Poisoning, Resins (Treatment)

== 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

44. Plant Poisoning, Alkaloids (Treatment)

. 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

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. Gastrointestinal Foreign Bodies (Follow-up)

. 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

47. Toxicity, Iron (Treatment)

of the American Association of Poison Control Centers' National Poison Data System (NPDS): 35th Annual Report. Clin Toxicol (Phila) . 2018 Dec 21. 51(10):1-203. . . Siff JE, Meldon SW, Tomassoni AJ. Usefulness of the total iron binding capacity in the evaluation and treatment of acute iron overdose. Ann Emerg Med . 1999 Jan. 33(1):73-6. . [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 (...) by the GI tract. Ipecac-induced emesis is not recommended. This is especially true in iron ingestion, as GI distress is an early finding in iron poisoning and is present in all potentially serious ingestions, and ipecac-induced vomiting may cloud the clinical picture. In any event, ipecac is rapidly becoming unavailable. [ ] Gastric lavage is not recommended because iron tablets are relatively large and become sticky in gastric fluid, making lavage unlikely to be of benefit. Whole bowel irrigation has

2014 eMedicine Pediatrics

48. Toxicity, Hydrocarbons (Treatment)

hydrocarbons (PAHs) as individual compounds and in complex mixtures. Environ Sci Technol . 2013 Aug 29. . [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. . Balme KH, Zar H, Swift DK, Mann MD. The efficacy of prophylactic antibiotics in the management of children with kerosene-associated pneumonitis: a double-blind randomised controlled trial. Clin (...) inhalation and cutaneous absorption may occur long after the exposure. Health care providers must take precautionary action to minimize their own exposure to the toxic substance. Gastric decontamination in cases of oral ingestion is controversial. Ipecac-induced emesis is contraindicated in patients who have ingested a low-viscosity hydrocarbon (eg, gasoline, kerosene, furniture polish, mineral spirits) because the aspiration risk is high. [ ] Before gastric decontamination is performed, the airway must

2014 eMedicine Pediatrics

49. Toxicity, Hallucinogens - PCP (Treatment)

. Activated charcoal adsorbs PCP and increases its nonrenal clearance. [ ] Because mental status can abruptly change, ipecac syrup and GI lavage are not recommended for GI decontamination. Because PCP is a weak base, treatment in the past included acidification of the patient's urine to increase the drug's urinary excretion. This therapy is no longer recommended because severely intoxicated patients are at risk for acidosis and rhabdomyolysis and because the acidification of urine promotes

2014 eMedicine Pediatrics

50. Toxicity, Deadly in a Single Dose (Treatment)

. Previous Next: Gastric Decontamination The American Academy of Clinical Toxicology (AACT) and the European Association of Poisons Centres and Clinical Toxicologists (EAPCCT) maintain updated position statements on gastric decontamination. Current recommendations cover the following [ ] : Ipecac syrup Single-dose activated charcoal Multi-dose activated charcoal Cathartics Whole-bowel irrigation (WBI) Gastric lavage Activated charcoal The position paper advises that use of single-dose activated charcoal (...) , no controlled studies demonstrate that the enhanced elimination of those drugs provides clinical benefit. Other decontamination methods Recommendations on other methods are as follows [ ] : Ipecac syrup: The routine administration of ipecac at the site of ingestion or in the emergency department should definitely be avoided; in any case, ipecac is rapidly becoming unavailable Cathartics are not recommended as a method of gut decontamination Gastric lavage should not be performed routinely, if at all

2014 eMedicine Pediatrics

51. Toxicity, Digitalis (Treatment)

in patients with renal insufficiency. Other points to consider include the following: Induced emesis with ipecac syrup is not recommended, because of the increased vagal effect Whole-bowel irrigation may be useful, but clinical data are lacking Forced diuresis is not recommended, because it has not been shown to increase renal excretion and can worsen electrolyte abnormalities Dialysis has been shown to produce only small additional clearance Gastric lavage increases vagal tone and may precipitate

2014 eMedicine Pediatrics

52. Toxicity, Cough and Cold Preparation (Treatment)

experience seizures and aspirate charcoal. Gastric emptying has not proven beneficial if the patient presents more than 1 hour postingestion, although case reports involving anticholinergic agents have demonstrated erratic absorption and repeated worsening of anticholinergic symptoms over 9 days. Ipecac syrup is not recommended in the ED because it may delay the administration of activated charcoal and seizures may occur at any time, with the possibility of aspiration. Repeated doses of activated (...) . Other methods of decontamination Controversial methods of decontamination include gastric lavage and ipecac syrup. Use of these agents should be on the advice of a poison center or toxicologist. Ipecac and gastric lavage have fallen into disfavor, and cathartic therapy is not recommended, especially in children. Emesis is not usually recommended and is specifically contraindicated if a depressed gag reflex, CNS depression, ingestion of a corrosive substance, or situation with high aspiration

2014 eMedicine Pediatrics

53. 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

54. 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

55. Disk Battery Ingestion (Diagnosis)

, no clinical evidence of mercury toxicity was observed. [ ] A spent cell, which no longer has enough power for the intended device, may still maintain considerable residual voltage. However, new cells are 3.2 times likely to be associated with clinically significant outcomes than spent cells. [ ] Retrograde movement of the battery from the stomach to the esophagus has been reported as a complication of use of ipecac syrup, necessitating emergent endoscopic removal. If the battery produces a mucosal burn

2014 eMedicine Emergency Medicine

56. Toxicity, Hydrocarbons (Overview)

identification of polycyclic aromatic hydrocarbons (PAHs) as individual compounds and in complex mixtures. Environ Sci Technol . 2013 Aug 29. . [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. . Balme KH, Zar H, Swift DK, Mann MD. The efficacy of prophylactic antibiotics in the management of children with kerosene-associated pneumonitis: a double-blind

2014 eMedicine Pediatrics

57. Toxicity, Iron (Overview)

Association of Poison Control Centers' National Poison Data System (NPDS): 35th Annual Report. Clin Toxicol (Phila) . 2018 Dec 21. 51(10):1-203. . . Siff JE, Meldon SW, Tomassoni AJ. Usefulness of the total iron binding capacity in the evaluation and treatment of acute iron overdose. Ann Emerg Med . 1999 Jan. 33(1):73-6. . [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

2014 eMedicine Pediatrics

58. Toxicity, Cough and Cold Preparation (Overview)

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 Pediatrics

59. Toxicity, Digitalis (Follow-up)

in patients with renal insufficiency. Other points to consider include the following: Induced emesis with ipecac syrup is not recommended, because of the increased vagal effect Whole-bowel irrigation may be useful, but clinical data are lacking Forced diuresis is not recommended, because it has not been shown to increase renal excretion and can worsen electrolyte abnormalities Dialysis has been shown to produce only small additional clearance Gastric lavage increases vagal tone and may precipitate

2014 eMedicine Pediatrics

60. Toxicity, Cough and Cold Preparation (Follow-up)

experience seizures and aspirate charcoal. Gastric emptying has not proven beneficial if the patient presents more than 1 hour postingestion, although case reports involving anticholinergic agents have demonstrated erratic absorption and repeated worsening of anticholinergic symptoms over 9 days. Ipecac syrup is not recommended in the ED because it may delay the administration of activated charcoal and seizures may occur at any time, with the possibility of aspiration. Repeated doses of activated (...) . Other methods of decontamination Controversial methods of decontamination include gastric lavage and ipecac syrup. Use of these agents should be on the advice of a poison center or toxicologist. Ipecac and gastric lavage have fallen into disfavor, and cathartic therapy is not recommended, especially in children. Emesis is not usually recommended and is specifically contraindicated if a depressed gag reflex, CNS depression, ingestion of a corrosive substance, or situation with high aspiration

2014 eMedicine Pediatrics

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