Medical Reference for Common OTC Prescription and Drugs

Haemodialysis, peritoneal dialysis, haemoperfusion, exchange transfusion and forced diuresis have all been used in attempts to increase the rate of removal of drugs and poisons. How­ever, the amount of active drug removed is often disappointingly small, and the indications for the use of such measures is very limited. Never­theless, poisoned patients are often unnecessar­ily subjected [...]

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Synopsis of Important Principles 1. Specific antidotal therapy is available for very few poisons. The mainstay of treatment of severe poisoning is intensive supportive therapy and good nursing care. 2. The great majority of poisoned patients recover with intensive supportive therapy alone, and enthusiastic claims for the success of other treatment often cannot be justified. [...]

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Gastric Aspiration and Lavage Although unabsorbed drug in the stomach may be removed by gastric aspiration and lav­age its usefulness in practice has been seriously questioned (Proudfoot 1984). Most drugs and poisons seem to be absorbed rapidly and this technique is unlikely to be productive more than 4 hours after ingestion, unless gastric emptying has [...]

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