Gastrointestinal Dialysis with Activated Charcoal and Cathartic in the Treatment of Adolescent Intoxications

This article reports five patients who had taken a substantial medication overdose and presented in coma. Two had taken a salicylate overdose and three a phenobarbital overdose (one of these ingested a combination of phenobarbital and phenytoin). The cases were treated by our standard protocol of su...

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Veröffentlicht in:Clinical pediatrics 1985-12, Vol.24 (12), p.678-684
Hauptverfasser: Mofenson, Howard C., Caraccio, Thomas R., Greensher, Joseph, D'Agostino, Ronald, Rossi, Anthony
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container_end_page 684
container_issue 12
container_start_page 678
container_title Clinical pediatrics
container_volume 24
creator Mofenson, Howard C.
Caraccio, Thomas R.
Greensher, Joseph
D'Agostino, Ronald
Rossi, Anthony
description This article reports five patients who had taken a substantial medication overdose and presented in coma. Two had taken a salicylate overdose and three a phenobarbital overdose (one of these ingested a combination of phenobarbital and phenytoin). The cases were treated by our standard protocol of supportive therapy and alkaline diuresis plus repetitive oral doses of activated charcoal (gastrointestinal dialysis). All patients were alert and oriented within 24 hours. Toxicokinetic analysis of the blood levels is discussed. Gastrointestinal dialysis represents a relatively noninvasive method that may benefit certain intoxicated patients even after systemic absorption has occurred. The technique and recommendations for its use are discussed and described in detail.
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source MEDLINE; SAGE Complete A-Z List
subjects Adolescent
Adsorption
Adult
Aspirin - poisoning
Cathartics - therapeutic use
Charcoal - administration & dosage
Charcoal - therapeutic use
Female
Gastric Lavage
Half-Life
Humans
Intestinal Absorption
Male
Phenobarbital - metabolism
Phenobarbital - poisoning
Phenytoin - poisoning
Poisoning - drug therapy
title Gastrointestinal Dialysis with Activated Charcoal and Cathartic in the Treatment of Adolescent Intoxications
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