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126 results for

Syrup of Ipecac

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61. Toxicity, Neuroleptic Agents (Treatment)

charcoal and should be administered in standard doses as soon as possible postingestion. Multiple-dose activated charcoal is of limited benefit and cannot be used if an ileus is present. Ipecac syrup is never recommended. Hemoperfusion, hemodialysis, and forced diuresis are not effective. Seizures are treated in a stepwise fashion, beginning with benzodiazepines (eg, lorazepam, midazolam) and followed by barbiturates (eg, phenobarbital, pentobarbital). The combination of peripheral alpha-blockade

2014 eMedicine Emergency Medicine

62. Toxicity, Nonsteroidal Anti-inflammatory Agents (Treatment)

, breathing, and circulation (ABCs). For gastrointestinal (GI) decontamination, syrup of ipecac is no longer recommended and should not be administered for NSAID overdose in any circumstances. If the patient has no clinical evidence of a perforated viscous, decontaminate with activated charcoal (AC). The patient should be able to protect airway (eg, normal mental status, preserved gag reflex, absence of vomiting) in order to prevent aspiration of charcoal. Activated charcoal may not be warranted

2014 eMedicine Emergency Medicine

63. Toxicity, Mushroom (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 Emergency Medicine

64. Toxicity, Iron (Treatment)

(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

65. Toxicity, Disulfiram (Treatment)

emesis and third spacing of intravascular fluid. Intravenous fluids and vasopressors are indicated to support blood pressure and treat patients who are in shock. Decontamination procedures are not likely to be beneficial once the reaction begins. Consider gastric emptying only in the hospital setting with cases of massive ethanol ingestion in which a patent and protected airway can be maintained. Inducing emesis with ipecac syrup is not recommended. Ipecac syrup contains ethanol, which could

2014 eMedicine Emergency Medicine

66. Toxicity, Ciguatera (Treatment)

== 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

67. Toxicity, Anticholinergic (Treatment)

. Obtain intravenous access and frequently monitor vital signs. Administer naloxone if respiratory depression due to opioid intoxication is suspected. Assess for hypoglycemia in patients with altered mental status. Manage seizures with benzodiazepines. Physostigmine is not recommended in the prehospital setting. Avoid ipecac syrup. Next: Emergency Department Care Initial assessment and stabilization are required in the emergency department (ED). Upon arrival, ensure that the airway is adequate

2014 eMedicine Emergency Medicine

68. 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

69. 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

70. 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

71. 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

72. 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

73. 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

74. 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

75. 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

76. 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

77. 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

78. Toxicity, Anticholinergic (Overview)

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

79. 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

80. 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

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