II. Indications
- No definite indications
- Used with Activated Charcoal only for Gastrointestinal Decontamination
- Consider for potentially toxic amounts of sustained-release, enteric-coated, or poorly-bound drugs to actovated charcoal
III. Contraindications
- Examination findings
- Absent bowel sounds
- Recent abdominal surgery or Trauma
- Bowel perforation
- Intestinal Obstruction
- Dehydration
- Hypotension
- Poison ingestion of corrosive substance
- Poison ingestion with Diarrheal adverse effects
- Poison ingestion with ileus as adverse effect
- Paraquat Poisoning
- Diquat
IV. Precautions
- Use only in combination with Activated Charcoal
- Avoid Oil Cathartics
- Risk of Lipoid Aspiration Pneumonia
- Risk outweighs any potential benefit
V. Protocol: Single dose only
- Sorbitol
-
Magnesium Citrate
- Adult: 250 ml Magnesium Citrate 10% solution
- Child: 4 ml/kg Magnesium Citrate 10% solution (up to 250 ml)
VI. Complications
- Electrolyte imbalance
- Dehydration
- Hypermagnesemia
VII. Contraindications
- Renal Failure
- Congestive Heart Failure
- Diarrhea
- Ileus
- Recent bowel surgery
- Electrolyte imbalance
- Extremes of age (under age 1 or over age 65 years)
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Related Studies
| Definition (MSH) | Agents that are used to stimulate evacuation of the bowels. |
| Concepts | Pharmacologic Substance (T121) |
| MSH | D002400 |
| SnomedCT | 264319004, 64407005, 24570008 |
| English | Cathartics, Purgatives, Evacuants, Bowel, Bowel Evacuants, bowel evacuants, bowel evacuants (medication), GI preparations bowel evacuants, purgative, cathartic, cathartics, purgatives, Purgative (substance), Cathartic, Cathartic (substance), Cathartic, NOS, Purgative, NOS, Purgative |
| Spanish | purgante, purgante (sustancia), catártico (sustancia), catártico, Purgantes, Catárticos |
| French | Cathartiques, Agents cathartiques, Médicaments cathartiques, Purgatifs, Lavements évacuateurs |
| Swedish | Laxermedel |
| Czech | katartika, purgativa, purgancia |
| Finnish | Ulostuslääkkeet (cathartics) |
| Italian | Purgativi, Catartici |
| Russian | SREDSTVA, USILIVAIUSHCHIE PERISTAL'TIKU KISHECHNIKA, POSLABLIAIUSHCHIE SREDSTVA, SREDSTVA, VYZYVAIUSHCHIE OPOROZHNENIE KISHECHNIKA, SLABITEL'NYE SREDSTVA, ПОСЛАБЛЯЮЩИЕ СРЕДСТВА, СЛАБИТЕЛЬНЫЕ СРЕДСТВА, СРЕДСТВА, ВЫЗЫВАЮЩИЕ ОПОРОЖНЕНИЕ КИШЕЧНИКА, СРЕДСТВА, УСИЛИВАЮЩИЕ ПЕРИСТАЛЬТИКУ КИШЕЧНИКА |
| Japanese | 下剤, 瀉下剤, 軟下剤, 下薬, 便通薬 |
| Polish | Leki oczyszczające jelita |
| German | Purgative, Abführmittel |
| Portuguese | Catárticos, Purgantes |
