Emesis Decontamination

Question 1

Contraindication for emesis internal decontamination is corrosives, what are four examples

Answer 1

1. Cationic detergent
2. Acids
3. Alkali
4. Hydrocarbons

Question 2

4 emetic agents

Answer 2

1. 3% hydrogen peroxide
2. Apomorphine
3. Ipecac - not recommended
4. Salt- not used

Question 3

Dose of 3% hydrogen peroxide for emesis

Answer 3

1 tsp/ 2.25kg
No more than 3 tsp
Can repeat once

Question 4

3 indications for adsorbent internal decontamination

Answer 4

1. Organics
2. Chemicals
3. Bacterial toxins

Question 5

Dosage for activated charcoal

Answer 5

1-3 g / kg
repeat at 1/2 dose

Question 6

Why would you need to give a second dose of activated charcoal at half the dose

Answer 6

Enterohepatic reabsorption

Question 7

Mechanism of action for activated charcoal for internal decontamination

Answer 7

Increased surface area binds to the toxin and adsorbs it so the body can’t absorb the toxin

Question 8

Cathartics function

Answer 8

Increase intestinal clearance

Question 9

________________ can be added to activated charcoal

Answer 9

Cathartics

Question 10

Contraindications for cathartics

Answer 10

Diarrhea
Dehydration