Emergency Medicine Book


Whole Bowel Irrigation

Aka: Whole Bowel Irrigation
  1. Indications
    1. Iron or heavy metals
    2. Body stuffers and packers
    3. Sustained release products (Oral Hypoglycemic medications)
  2. 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
  3. Adverse Effects
    1. Vomiting
    2. Abdominal cramping
  4. Contraindications
    1. Unprotected airway
    2. Gastrointestinal Hemorrhage
    3. Bowel perforation
    4. Bowel Obstruction
    5. Intractable Vomiting
    6. Hemodynamic instability
  5. References
    1. (2004) J Toxicol Clin Toxicol 42(6): 843-54 [PubMed]

You are currently viewing the original 'fpnotebook.com\legacy' version of this website. Internet Explorer 8.0 and older will automatically be redirected to this legacy version.

If you are using a modern web browser, you may instead navigate to the newer desktop version of fpnotebook. Another, mobile version is also available which should function on both newer and older web browsers.

Please Contact Me as you run across problems with any of these versions on the website.

Navigation Tree