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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?

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

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

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

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

Massive iron ingestion with high risk of toxicity Signup and view all the answers

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

Syrup of ipecac Signup and view all the answers

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

50 to 100 grams Signup and view all the answers

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

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

In what situation is activated charcoal contraindicated?

In patients with an unprotected airway Signup and view all the answers

What is a risk associated with gastric lavage?

It can flood the lungs with acidic gastric contents Signup and view all the answers

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

Metoclopramide Signup and view all the answers

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

$1-2$ hours Signup and view all the answers

Why has ipecac's use been debated?

Due to its lack of proven efficacy and potential toxicity Signup and view all the answers