LAST MINUTE DECONTAMINATION

Question 1

treats emesis but no longer recommended

Answer 1

ipecac

Question 2

via orogastric or nasogastric tube

used for very large ingestions

used within 60 min of ingestion

patient should be awake or protected airway

Answer 2

gastric lavage

Question 3

used for whole bowel irrigation for GI elimination

used for iron tablets, enter coated medicines, illicit drug filled packets, foreign bodies, long acting drugs

Answer 3

cathartics

Question 4

good for absorption, efficacious when used less then 60 min of ingestion, no efficacy for iron, ethanol and methanol, potassium

overall low usage and used when patient is awake or when airway is protected

Answer 4

activated charcoal

Question 5

used when suspecting potentially lethal amounts of dialyzable drug

carbamazopole, ethylene glycol, lithium

not useful for antidepressants, benzodiazpines, opioids

Answer 5

dialysis

Question 6

a type of elimination technique that is hazardous (fluid overload, electrolyte disturbance) and used for amphetamines, acidification of urine, salicylates

Answer 6

forced diuresis