NCTI- Pharmacology- Drug List A- Activated Charcoal

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RunNickMarini
ID:
18392
Filename:
NCTI- Pharmacology- Drug List A- Activated Charcoal
Updated:
2010-05-08 22:38:19
Tags:
NCTI Pharmacology Drug List Activated Charcoal
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NCTI- Pharmacology- Drug List A- Activated Charcoal
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  1. Activated Charcoal
    trade name
    • Acta-Char
    • Actidose-Aqua
    • Insta-Char
    • Liqui-Char
    • CharcoAid
  2. Activated Charcoal
    class
    adsorbent
  3. Activated Charcoal
    mechanism of action
    Binds (adsorbs) toxic substances inhibiting gastrointestinal absorption, leaving less toxic substance in body circulation; increasing fecal elimination of drug/charcoal complex
  4. Activated Charcoal
    indications
    Suspected ingestion of drugs or chemicals
  5. Activated Charcoal
    contraindications
    • Patients with a compromised airway – need to minimize chance for aspiration or obstructionIngestion of Iron or multi-vitamins
    • Caustic acids/alkalis
    • Cyanide Poisoning
  6. Activated Charcoal
    side effects
    • Respiratory: choking
    • Gastrointestinal: vomiting, black stools, abdominal cramping/bloating
  7. Activated Charcoal
    precautions
    • Should not be administered immediately after Syrup of Ipecac
    • Must shake vigorously prior to administration
    • Do not use charcoal with sorbitol (an added sweetener) in children < 1 yr
  8. Activated Charcoal
    interactions
    Does not adsorb cyanide, ethanol, methanol, ferrous sulfate, caustic alkali or mineral acids, or lithium
  9. Activated Charcoal
    routes
    PO voluntarily by patient or PO via nasogastric/orogastric tube
  10. Activated Charcoal
    onset and duration
    Onset is immediate, peak effect and duration are unknown
  11. Activated Charcoal
    dosages
    • Adult: Initially 1g/kg PO
    • Pediatric: Initially 1g/kg PO
  12. Activated Charcoal
    notes
    • Most effective if administered within 30 minutes of ingestion
    • Use very cautiously in patients who cannot protect their own airway

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