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11 Cards in this Set

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Classification*
Adsorbent
Mechanism of Action*
1. Bind (adsorbs) toxic substances inhibiting gastrointestinal absorption, leaving less toxic substance in body circulation
2. Increases fecal elimination of drug/ Charcoal complex
Indications
Suspected ingestion of drugs or chemicals
Contraindications*
1. Patients with a comprised airway - need to minimize chance for aspiration or obstruction
2. ingestion of iron or multi vitamins
Side effects
Respiratory, Choking
Gastrointestinal, vomiting, black stools ,abdominal cramping/ bloating
Precautions
1. Should not be administered immediately after syrup ipecac
2. must shake vigorously prior to administration
3. Do not use charcoal with sorbitol (an added sweetener) in Children < 1yr
interactions
will not bind with alcohol
Routes of administration*
PO voluntarily by patient or PO via nasogastric/ orogastric tube
Onset and Duration of Actions
Onset is immediate, peak effect and duration are unknown
Dosage*
Adult and Ped 1g/kg PO
Normal adult dose 25-50g
Notes
1. Does not adsorb cyanide, ethanol, methanol, ferrous sulfate, caustiv alkali, or mineral acids
2. Most effective if administered within 30 mins of ingestion