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Decontamination After Toxin Exposure
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Decontamination After Toxin Exposure
, Decontamination After Toxin Ingestion, Gastric Decontamination
See Also
Toxin Ingestion
Toxin Antidote
s
Protocol
Gastric Decontamination
Indications
Severe ingestion cases as directed by poison control
Gastric Decontamination is no longer recommended for most ingestions
Techniques
Gastric Lavage
Activated Charcoal
Cathartic
s
Whole Bowel Irrigation
Protocol
Skin
Decontamination
(e.g. chemical exposure)
Remove all clothing and wash skin with soap and water
Protect health care workers from exposure
Example:
Organophosphate
s on clothing
Irrigate eye exposures with
Normal Saline
Protocol
Enhancement of Elimination
See
Urinary Alkalinization
for Indications
Contraindicated or ineffective measures
Acidification
Forced Diuresis
Protocol
Blood filtering
See
Hemodialysis
for Indications
Charcoal Hemoperfusion Indications
Theophylline
Diphenhydramine
(
Benadryl
)
References
Chu (2002) Am J Respir Crit Care Med 166(1):9-15 [PubMed]
Erickson (2007) Emerg Med Clin North Am 25(2):249-81 [PubMed]
Mokhlesi (2003) Chest 123(2):577-92 [PubMed]
Nicholson (1983) Med Clin North Am 67(6):1279-93 [PubMed]
Jones (2002) Ther Drug Monit 24(1):150-5 [PubMed]
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