Whole bowel irrigation: Difference between revisions
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==Relative Indications== | ==Relative Indications== | ||
#Sustained or delayed-release formulations | #Sustained or delayed-release formulations | ||
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==Complications== | ==Complications== | ||
#Bloating, cramping, rectal irritation (from frequent bowel movements) | #Bloating, cramping, rectal irritation (from frequent bowel movements) | ||
==See Also== | |||
*[[Gastric Lavage]] | |||
*[[Charcoal]] | |||
==Source== | ==Source== | ||
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[[Category:Procedures]] | [[Category:Procedures]] | ||
[[Category:Tox]] | |||
Revision as of 19:44, 3 February 2012
Relative Indications
- Sustained or delayed-release formulations
- Agents with potential for bezoar formation
- Iron and other heavy metals
- Paint chips containing lead
- Lithium
- Drugs carried by body packers
Contraindications
- Preceding diarrhea
- Ingestion of substances expected to result in significant diarrhea (except heavy metals)
- Bowel obstruction (as evidenced by lack of bowel sounds)
Procedure
- Give polyethylene glycol via NGT or PO (if pt tolerates) until rectal effluent is clear
- Adult: 1.5-2 L/hr
- Peds 6-12yr: 1 L/hr
- Peds <6yr: 0.5 L/hr
- Give ondansetron or metoclopramide as needed for N/V
Complications
- Bloating, cramping, rectal irritation (from frequent bowel movements)
See Also
Source
- Tintinalli