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Activated Charcoal (ACTA-CHAR, LIQUID CHAR, ACTIDOSE, INSTA-CHAR, CHARCOAID)

rename
paramedic's version from 2017-08-28 01:55

Section

Question Answer
Classification Chemical Absorbent, Antidote
Mechanism of Action Binds to and adsorbs ingested drugs and chemicals and inhibits absorption in the GI tract
Indications Known or suspected drug or poison ingestion within one hour of ingestion and the patient must be able to protect their own airway.
Contraindications: Ingestion of:Cyanide, Mineral Acids, Methanol, Ethanol, Caustic Acids/ Bases, Heavy Metals (iron), Petroleum products, Corrosive, Lithium
Additional Contraindications Altered LOC, Absent Gag Reflex / Patient is unable to protect airway
Side EffectsAspiration, Vomiting, Diarrhea, Constipation
InteractionsMilk products reduce effectiveness
Routes of Administration PO / NGT
Onset / Duration Immediate / 12- 24 hours
Adult Dose1 Gram/ Kg (~ 50- 100 Grams)
Pediatric Dose 1 Gram/ Kg (~ 15 - 30 Grams)
Additional Info.Monitor Patient's Airway, Charcoal is most effective when SD ministered as soon as possible after acute poisoning (within 30mins), May have sorbitol added as a sweetener, however sorbitol acts like a laxative as well.
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