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120 results for

Syrup of Ipecac

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61. Toxicity, Mushrooms - Muscarine (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 Pediatrics

62. Toxicity, Iron (Follow-up)

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

63. Toxicity, Hydrocarbons (Follow-up)

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 Toxicol (Phila) . 2015 Jun 26. 1-8. . Anas N, Namasonthi V, Ginsburg CM

2014 eMedicine Pediatrics

64. Toxicity, Mushrooms - Ibotenic Acid (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 Pediatrics

65. Toxicity, Cough and Cold Preparation (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 Pediatrics

66. Toxicity, Hydrocarbons (Diagnosis)

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

67. Toxicity, Iron (Diagnosis)

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

68. Toxicity, Mushrooms - Ibotenic Acid (Treatment)

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 Pediatrics

69. Toxicity, Mushrooms - Muscarine (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 Pediatrics

70. 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

71. 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

72. 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

73. 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

74. 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

75. 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

76. Toxicity, Ciguatera (Follow-up)

== processing > Ciguatera Toxicity Treatment & Management Updated: Dec 29, 2015 Author: Thomas C Arnold, MD, FAAEM, FACMT; Chief Editor: Asim Tarabar, MD Share Email Print Feedback Close Sections Sections Ciguatera Toxicity Treatment Approach Considerations Treatment is largely supportive and symptom driven. If performed within 3-4 hours of toxin ingestion, gastric decontamination with activated charcoal may help. Avoid administering ipecac syrup because of its potential to worsen fluid losses. Antiemetics

2014 eMedicine Emergency Medicine

77. Toxicity, Beta-blocker (Follow-up)

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

78. Toxicity, Antihistamine (Follow-up)

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

79. Toxicity, Iron (Overview)

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

80. Toxicity, Antihistamine (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 Emergency Medicine

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