Treatment |
First assess the General condition – Pulse, Respiration, Blood pressure, Pupils and Level of consciousness. If unconscious, Such throat and maintain adequate airway. Head low position. Ryle’s tube wash: insert a large bore Ryle’s tube or preferably stomach tube, and give a thorough stomach wash. Activated Charcoal – after giving stomach wash. Give specific antidote if available. General Care: Inj. CALMPOSE 2 cc I.V. slow, if convulsionsCatheterization if retention. Endotracheal intubation and artificial respiration if respiratory failure.
POISON & ANTIDOTE | OTHER MEASURES | Ethanol (Alcohol) | I.V. 25% glucose 4 ampInj. Polybion or M.V. I in 10% dextrose dripInj. Mannitol 300ml slow I.V. | Methyl Alcohol | Inj. Sodabicard 150 ml I.V. then 100ml I.V. every 2 hrsEthyl Alcohol 50g.Inj. Folinic acid 30mg I.V. Hemodialysis S.O.S. | Barbiturates | Repeated Gastric lavage. Forced alkaline Diuresis.- 4x500ml DNS = 10cc KCI I.V. - 150ml Sodabicarb 7.5% I.V. - Mannitol 20% x 350 x I.V. Inj. Lasix S.O.S. Hemodialysis S.O.S. | Tricyclic antidepressants like Imipramine | Gastric lauageActivated Charcoal Inj. Sodabicarb 150ml I.V. if acidosis. Inj. Physostigmine sallicylate 2mg I.V. repeat after 15mins & then 1 hrly.- Dialysis does not help. | Slicylates | Gastric Lavage & activated Charcoal. Antacids – Gelusil 60ml x 4 hrlyIcecold milk by nasal dripHemodialysis S.O.S. Other Inj. Sodabicarb 100ml I.V. stat, the as per blood PH & Electrolytes.Inj. Calcium gliuonate 10cc I.V. if tetany Inj. Paraldehyde 10ml IM if convulsions. Inj. Vit K 10mg IM OD if bleeding |
CALMPOSE |