Professional Documents
Culture Documents
• Circumstances of poisoning :
Ingestion 79%
Dermal 6.3%
Ophthalmic 5.3%
Inhalation 5.1%
Bits and Stings 3.1%
Parental 1%
Initial
Assessment and
Management
Kerosene. Caustic.
A-Non specific management:
1- removal of the source of
poison away from the child .
2- initial resuscitation and
stabilization.
3- removal of unabsorbed
poison from GIT.
4-elimination of already
absorbed poisons.
5-symptomatic and supportive
measures.
1-removal of the poison .
Dose : 1 g/ kg.
Disadvantage: It is an
odorless, tasteless, black
powder so Children may
be averse to its gritty
texture & color.
Irrigation is a newer
technique used to
flush the toxin through
the bowel , thereby
preventing further
absorption.
Polyethylene glycol
500 ml /h is given orally
& continued until the
rectal effluent is clear
(in 4-6 h).
serial abdominal
radiographs may also
be used to demonstrate
its effectiveness.
It is particularly useful for ingestions
that are not adsorbed by AC such as:
Lead paint
Symptomatic arrhythmia
Rx
convulsions
hypothermia
Pain
5-elimination of the already absorbed
poisons.
Absorption of poisons occurs after six hours
after ingestion.
The techniques are :
peritoneal
forced diuresis. hemodialysis.
dialysis
exchange
transfusion.
Kerosene poisoning is common
in communities where
kerosene is a major household
fuel.
Investigations Treatment
Investigations
to aid management and to monitor
complications in other organ systems we
do:
full blood
electrolytes
count
Urea&
liver function
creatinine
test
level
Chest x-ray is done in all symptomatic
patient to :
1-determine the extent of injury .
No Emesis
No bicarbonate or antidote
Assess the A –B- C
corticosteroids