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Whole Bowel irrigation

Aka: Whole Bowel irrigation

Indications
1. Iron or heavy metals
2. Body stuffers and packers
3. Sustained release products
Protocol
1. Polyethylene glycol solution (e.g. Golytely) administered orally or via Nasogastric Tube
2. Patient sits on toilet
3. Dose (administered until rectal effluent is clear - typically 4-6 hours)
  1. Children 9 months to 5 years: 500 cc/hour
  2. Children 6 to 12 years: 1000 cc/hour
  3. Teens and Adults: 1500 to 2000 cc/hour
Adverse Effects
1. Vomiting
2. Abdominal cramping
Contraindications
1. Unprotected airway
2. Gastrointestinal Hemorrhage
3. Bowel perforation
4. Bowel Obstruction
5. Intractable Vomiting
6. Hemodynamic instability
References
1. (2004) J Toxicol Clin Toxicol 42(6): 843-54

Family Practice Notebook

Patients should address specific medical concerns with their physicians.

Although access to this page is not restricted, the information found here is intended for use by medical providers.

This page was written by Scott Moses, MD, last revised on 12/21/2011 and last published on 5/14/2013.

This is one of 5887 pages in the Family Practice Notebook