Diferencia entre revisiones de «Whole bowel irrigation»
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==Indications<ref>Thanacoody, R, et al. Position paper update: Whole bowel irrigation for gastrointestinal decontamination of overdose patients. Clin Toxicol. 2015; 53(1):5-12. doi: 10.3109/15563650.2014.989326.</ref>== | ==Indications<ref>Thanacoody, R, et al. Position paper update: Whole bowel irrigation for gastrointestinal decontamination of overdose patients. Clin Toxicol. 2015; 53(1):5-12. doi: 10.3109/15563650.2014.989326.</ref>== | ||
* | *''LIMPS = Lithium, Iron, Metals, Packers/stuffer, Sustained release drugs (especially beta-blockers, calcium channel blockers) | ||
**[[Lithium overdose]] (extended-release tablets) | **[[Lithium overdose]] (extended-release tablets) | ||
**[[iron toxicity|Iron]] | **[[iron toxicity|Iron]] | ||
| Línea 38: | Línea 38: | ||
==External Links== | ==External Links== | ||
*[ | *[http://www.emdocs.net/toxcard-gi-decon/ emDocs - GI Decon] | ||
==References== | ==References== | ||
Revisión actual - 09:30 22 mar 2026
Indications[1]
- LIMPS = Lithium, Iron, Metals, Packers/stuffer, Sustained release drugs (especially beta-blockers, calcium channel blockers)
- Lithium overdose (extended-release tablets)
- Iron
- Heavy metals
- Toxic ingestions of sustained- or delayed-release formulations
- Drugs carried by body packers
- Additional considerations:
- Be mindful that the addition of PEG to activated charcoal significantly decreases activated charcoal's adsorptive capacity
Contraindications
- Preceding diarrhea
- Ingestion of substances expected to result in significant diarrhea (except heavy metals)
- Bowel obstruction (as evidenced by lack of bowel sounds)
- avoid chilled solutions in neonates given risk for hypothermia
Procedure
- Give polyethylene glycol via NGT or PO (if tolerates) until rectal effluent is clear
- Adult: 1.5-2 L/hr
- Peds 6-12yr: 1 L/hr
- Peds <6yr: 0.5 L/hr
- Peds alt: 20-40 mL/kg/hr in young children
Give ondansetron or metoclopramide as needed for nausea/vomiting
Complications
- Bloating
- Cramping
- Rectal irritation (from frequent bowel movements)
See Also
External Links
References
- ↑ Thanacoody, R, et al. Position paper update: Whole bowel irrigation for gastrointestinal decontamination of overdose patients. Clin Toxicol. 2015; 53(1):5-12. doi: 10.3109/15563650.2014.989326.