Whole bowel irrigation: Difference between revisions
| Line 8: | Line 8: | ||
==Contraindications== | ==Contraindications== | ||
*Preceding diarrhea | *Preceding [[diarrhea]] | ||
*Ingestion of substances expected to result in significant diarrhea (except heavy metals) | *Ingestion of substances expected to result in significant diarrhea (except [[heavy metals]]) | ||
*Bowel obstruction (as evidenced by lack of bowel sounds) | *[[Bowel obstruction]] (as evidenced by lack of bowel sounds) | ||
==Procedure== | ==Procedure== | ||
Revision as of 14:38, 25 August 2015
Indications[1]
- Sustained or delayed-release formulations
- Agents with potential for bezoar formation
- Iron and other heavy metals
- Paint chips containing Lead
- Lithium overdose (extended-release tablets)
- 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 tolerates) until rectal effluent is clear
- Adult: 1.5-2 L/hr
- Peds 6-12yr: 1 L/hr
- Peds <6yr: 0.5 L/hr
- Peds alt: 20-40 mL/kg/hr in young children
Give ondansteron or metoclopramide as needed for nausea/vomiting
Complications
- Bloating
- Cramping
- Rectal irritation (from frequent bowel movements)
See Also
References
- ↑ Thanacoody, R, et al. Position paper update: Whole bowel irrigation for gastrointestinal decontamination of overdose patients. Clin Toxicol. 2015; 53(1):5-12. doi: 10.3109/15563650.2014.989326.