Activated Charcoal - Offical

Question 1

Class

Answer 1

Absorbent, Antidote

Question 2

Mechanism of action

Answer 2

Absorbs toxic substances from the GI bleed

Question 3

Indications

Answer 3

Most oral poisoning and medication overdoses; can be used after evacuation of poisons

Question 4

Contraindications

Answer 4

Oral administration to comatose patient; after ingestion of corrosives, caustics, petroleum distillates (ineffective and may induce vomiting) simultaneous administration with other oral drugs. Use caution in patients experiencing abdominal pain of unknown m origin or known GI obstruction

Question 5

Adverse reaction/ side effects

Answer 5

If aspirated, can induce fatal form of pneumonitis, constipation, black stools, diarrhea, vomiting, bowel obstruction

Question 6

Drug interactions

Answer 6

Bonds with and generally inactivates whatever it is mixed with

Question 7

Adult dose

Answer 7

1 to 2 g/kg. PO or NG tube

Question 8

Pedi dose

Answer 8

1 to 2 / kg PO or NG tube

Question 9

Duration of action

Answer 9

Onset: immediate. Peak effect: Depends on GI function. Duration: Will act until excreted

Question 10

Pregnancy class

Answer 10

C

Question 11

Special consideration

Answer 11

Often used in conjunction with magnesium citrate. Must be stored in a closed container. Be sure to mix contents wells before administration due to separation while being stored. Does not absorb cyanide, lithium, iron, lead, or arsenic.

Activated charcoal is no longer used in some EMS system but paramedics may still encounter it.