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 |
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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. |
doi_str_mv | 10.1177/000992288502401202 |
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The technique and recommendations for its use are discussed and described in detail.</description><identifier>ISSN: 0009-9228</identifier><identifier>EISSN: 1938-2707</identifier><identifier>DOI: 10.1177/000992288502401202</identifier><identifier>PMID: 4064454</identifier><language>eng</language><publisher>Thousand Oaks, CA: SAGE Publications</publisher><subject>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</subject><ispartof>Clinical pediatrics, 1985-12, Vol.24 (12), p.678-684</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c367t-5fd12beea87d1a1d1a1d3ebcb8b0d9d27901a3e3a8b78be411fc5ade04c26f473</citedby><cites>FETCH-LOGICAL-c367t-5fd12beea87d1a1d1a1d3ebcb8b0d9d27901a3e3a8b78be411fc5ade04c26f473</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/000992288502401202$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/000992288502401202$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>315,781,785,21824,27929,27930,43626,43627</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/4064454$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mofenson, Howard C.</creatorcontrib><creatorcontrib>Caraccio, Thomas R.</creatorcontrib><creatorcontrib>Greensher, Joseph</creatorcontrib><creatorcontrib>D'Agostino, Ronald</creatorcontrib><creatorcontrib>Rossi, Anthony</creatorcontrib><title>Gastrointestinal Dialysis with Activated Charcoal and Cathartic in the Treatment of Adolescent Intoxications</title><title>Clinical pediatrics</title><addtitle>Clin Pediatr (Phila)</addtitle><description>This article reports five patients who had taken a substantial medication overdose and presented in coma. 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The technique and recommendations for its use are discussed and described in detail.</description><subject>Adolescent</subject><subject>Adsorption</subject><subject>Adult</subject><subject>Aspirin - poisoning</subject><subject>Cathartics - therapeutic use</subject><subject>Charcoal - administration & dosage</subject><subject>Charcoal - therapeutic use</subject><subject>Female</subject><subject>Gastric Lavage</subject><subject>Half-Life</subject><subject>Humans</subject><subject>Intestinal Absorption</subject><subject>Male</subject><subject>Phenobarbital - metabolism</subject><subject>Phenobarbital - poisoning</subject><subject>Phenytoin - poisoning</subject><subject>Poisoning - drug therapy</subject><issn>0009-9228</issn><issn>1938-2707</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1985</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtKAzEUhoMotVZfQBDyAmNPLtPMLEvVKhTc1PVwJsnYlOmkJKnat3dqixvBxeHw818WHyG3DO4ZU2oMAGXJeVHkwCUwDvyMDFkpiowrUOdkeAhkh8QluYpxDcAE5GJABhImUuZySNo5xhS865KNyXXY0geH7T66SD9dWtGpTu4DkzV0tsKgfR_ArheYepmcpq6jaWXpMlhMG9sl6hs6Nb61UR_US5f8l9OYnO_iNblosI325vRH5O3pcTl7zhav85fZdJFpMVEpyxvDeG0tFsowZD8nbK3rogZTGq5KYCiswKJWRW0lY43O0ViQmk8aqcSI8OOuDj7GYJtqG9wGw75iUB3IVX_J9aW7Y2m7qzfW_FZOqHp_fPQjvttq7XehpxX_W_wGkPl43Q</recordid><startdate>198512</startdate><enddate>198512</enddate><creator>Mofenson, Howard C.</creator><creator>Caraccio, Thomas R.</creator><creator>Greensher, Joseph</creator><creator>D'Agostino, Ronald</creator><creator>Rossi, Anthony</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>198512</creationdate><title>Gastrointestinal Dialysis with Activated Charcoal and Cathartic in the Treatment of Adolescent Intoxications</title><author>Mofenson, Howard C. ; Caraccio, Thomas R. ; Greensher, Joseph ; D'Agostino, Ronald ; Rossi, Anthony</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c367t-5fd12beea87d1a1d1a1d3ebcb8b0d9d27901a3e3a8b78be411fc5ade04c26f473</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1985</creationdate><topic>Adolescent</topic><topic>Adsorption</topic><topic>Adult</topic><topic>Aspirin - poisoning</topic><topic>Cathartics - therapeutic use</topic><topic>Charcoal - administration & dosage</topic><topic>Charcoal - therapeutic use</topic><topic>Female</topic><topic>Gastric Lavage</topic><topic>Half-Life</topic><topic>Humans</topic><topic>Intestinal Absorption</topic><topic>Male</topic><topic>Phenobarbital - metabolism</topic><topic>Phenobarbital - poisoning</topic><topic>Phenytoin - poisoning</topic><topic>Poisoning - drug therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mofenson, Howard C.</creatorcontrib><creatorcontrib>Caraccio, Thomas R.</creatorcontrib><creatorcontrib>Greensher, Joseph</creatorcontrib><creatorcontrib>D'Agostino, Ronald</creatorcontrib><creatorcontrib>Rossi, Anthony</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Clinical pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mofenson, Howard C.</au><au>Caraccio, Thomas R.</au><au>Greensher, Joseph</au><au>D'Agostino, Ronald</au><au>Rossi, Anthony</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gastrointestinal Dialysis with Activated Charcoal and Cathartic in the Treatment of Adolescent Intoxications</atitle><jtitle>Clinical pediatrics</jtitle><addtitle>Clin Pediatr (Phila)</addtitle><date>1985-12</date><risdate>1985</risdate><volume>24</volume><issue>12</issue><spage>678</spage><epage>684</epage><pages>678-684</pages><issn>0009-9228</issn><eissn>1938-2707</eissn><abstract>This article reports five patients who had taken a substantial medication overdose and presented in coma. 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ispartof | Clinical pediatrics, 1985-12, Vol.24 (12), p.678-684 |
issn | 0009-9228 1938-2707 |
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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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