Emergency Medicine Book

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Whole Bowel Irrigation

Aka: Whole Bowel Irrigation
  1. Indications
    1. Iron or heavy metals
    2. Body stuffers and packers
    3. Sustained release products (Oral Hypoglycemic medications)
  2. Protocol
    1. Polyethylene glycol solution (e.g. Golytely) administered orally or via Nasogastric Tube
    2. Patient sits on toilet
    3. Dose (administered until rectal effluent is clear - typically 4-6 hours)
      1. Children 9 months to 5 years: 500 cc/hour
      2. Children 6 to 12 years: 1000 cc/hour
      3. Teens and Adults: 1500 to 2000 cc/hour
  3. Adverse Effects
    1. Vomiting
    2. Abdominal cramping
  4. Contraindications
    1. Unprotected airway
    2. Gastrointestinal Hemorrhage
    3. Bowel perforation
    4. Bowel Obstruction
    5. Intractable Vomiting
    6. Hemodynamic instability
  5. References
    1. (2004) J Toxicol Clin Toxicol 42(6): 843-54 [PubMed]

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