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Activated charcoal, also known as activated carbon, has been used medically to detoxify patients for almost 200 years. It’s produced by subjecting sources of carbon such as bamboo, coconut husk ...
Activated charcoal, also known as activated carbon, is a medication used to treat poisonings that occurred by mouth. [1] To be effective it must be used within a short time of the poisoning occurring, typically an hour. [1] [2] It does not work for poisonings by cyanide, corrosive agents, iron, lithium, alcohols, or malathion. [2]
Activated charcoal is the most common sorbent used, with other typical sorbents including silica gel, porous polymers, synthetic carbonaceous sorbents, coated sorbents, molecular sieves, and thermal desorption tubes. [9] Diffusive samplers, also known as passive monitors or badges, require no pump but are less accurate and sensitive. [2]
In overdose activated charcoal is often recommended. [1] People should not be forced to vomit. [2] In those who have a wide QRS complex (> 100 ms) sodium bicarbonate is recommended. [2] If seizures occur benzodiazepines should be given. [2] In those with low blood pressure intravenous fluids and norepinephrine may be used. [1]
A nasogastric tube is used for feeding and administering drugs and other oral agents such as activated charcoal. For drugs and for minimal quantities of liquid, a syringe is used for injection into the tube. For continuous feeding, a gravity based system is employed, with the solution placed higher than the patient's stomach.
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[6] [67] [68] Additionally, those who ingest large doses of serotonergic agents may benefit from gastrointestinal decontamination with activated charcoal if it can be administered within an hour of overdose. [9] The intensity of therapy depends on the severity of symptoms.
Activated charcoal is only given within one hour of anticholinergic ingestion. Physostigmine is given only if presenting both peripheral and central signs and symptoms of anticholinergic poisoning. [23] Physostigmine is a central and peripheral acting acetylcholinesterase inhibitor and generally given to patients with pure anticholinergic ...
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