Decontamination Techniques: Inducing Emesis
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Decontamination Techniques: Inducing Emesis

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Questions and Answers

What is the reason why inducing emesis (vomiting) is no longer a routine procedure for treating poisoned patients?

  • Potential drowsiness and lethargy in children
  • Easy availability and low cost of emetics
  • High risk of complications and narrow window of opportunity (correct)
  • Low effectiveness rate in 30% of ingestions
  • Why should emetics be avoided in the home environment according to the text?

  • Risk of inhalation and need for medical assessment (correct)
  • Ease of administration in the home setting
  • Reduced side effects when given at home
  • Higher effectiveness when administered at home
  • What is the recommended treatment by the American Academy of Clinical Toxicology and the European Association of Poison Centres and Clinical Toxicologists for poisoning cases?

  • Avoiding the use of ipecac in poisoning cases (correct)
  • Using high-dose activated charcoal within 24 hours
  • Administering powdered ipecacuanha at home
  • Combining ipecac with activated charcoal
  • When is high-dose activated charcoal typically used according to the text?

    <p>Within 1 hour of a highly toxic ingestion if at high risk of deterioration</p> Signup and view all the answers

    What is the recommended dose of syrup of ipecac for children according to the text?

    <p>1-2 ml/kg up to a maximum of 30 ml</p> Signup and view all the answers

    In what type of poisoning is vomiting considered appropriate or even life-saving according to the text?

    <p>Massive iron ingestion with high risk of toxicity</p> Signup and view all the answers

    What is the preferred method to induce vomiting in poisoned patients?

    <p>Syrup of ipecac</p> Signup and view all the answers

    What is the recommended dose of activated charcoal for adult patients?

    <p>50 to 100 grams</p> Signup and view all the answers

    Why is activated charcoal considered one of the most beneficial decontamination techniques?

    <p>It can bind to certain medications, preventing their absorption</p> Signup and view all the answers

    In what situation is activated charcoal contraindicated?

    <p>In patients with an unprotected airway</p> Signup and view all the answers

    What is a risk associated with gastric lavage?

    <p>It can flood the lungs with acidic gastric contents</p> Signup and view all the answers

    Which antiemetic agent is considered as a safer alternative to ipecac?

    <p>Metoclopramide</p> Signup and view all the answers

    What is the duration during which activated charcoal is most effective post-ingestion?

    <p>$1-2$ hours</p> Signup and view all the answers

    Why has ipecac's use been debated?

    <p>Due to its lack of proven efficacy and potential toxicity</p> Signup and view all the answers

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