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