Acute iron poisoning: management guidelines.
Indian Pediatr
;
2003 Jun; 40(6): 534-40
Article
in English
| IMSEAR
| ID: sea-15720
ABSTRACT
Serum iron level may not be available and fully reliable in management decision and prognostication in our setting. An estimated ingestion of >60 mg/kg elemental iron, onset of symptoms, blood sugar >150 mg/dL, total leukocyte count >15,000 cumm and presence of iron tablets on abdominal radiograph indicates severe toxicity and need for chelation therapy. Appearance of "vin-rose" color urine following a dose of desferrioxamine may be helpful, but is not seen consistently after chelation therapy. Early decontamination of gut (gastric lavage/whole gut irrigation), desferrioxamine infusion (15 mg/kg/hour in saline), and aggressive management of shock, and organ failure preferably in a PICU are mainstay of management, and has improved the outcome. Shock, coagulopathy (prothrombin index <50%), severe acidosis and acute liver failure are poor prognostic indicators. Guardians should be counseled about safe storage of iron tablets made for adults, and general poisoning prevention measures.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Poisoning
/
Humans
/
Child
/
Child, Preschool
/
Iron Chelating Agents
/
Gastric Lavage
/
Iron
/
Life Support Care
Type of study:
Practice guideline
Language:
English
Journal:
Indian Pediatr
Year:
2003
Type:
Article
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