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