Iron poisoning in 4 year child, R X includes –a) Stomach lavageb) Desferrioxamine IV 100 mgc) X–ray abdomend) Blood transfusion
Correct Answer: bc
Description: Iron poisoning
Ingestion of a number of ferrous sulphate tablets may cause acute iron poisoning.
Clinical features
Severe vomiting
GI bleeding
Diarrhea
There may be severe shock, hepatic & renal failure
Treatment of Iron poisoning
Because iron is radio-opaque abdominal radiography may confirm the ingestion. Repeat radiograph may help with assessment of the efficiency of gastric decontamination methods.
Ipecac-induce emesis may be used to remove tablets from the stomach.
Gastric lavage is not recommended in children because of its inefficiency.
Activated charcoal does not adsorb iron and should not be used.
Whole bowel irrigation may be of benefit.
If tablets adhere to gastric mucosa, removal by endoscopy.
Desferrioxamine is a specific shelter of iron and is the antidote of choice.
Category:
Pediatrics
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