Lakhasly

In the "OHSU Tox Shorts: Iron Toxicity" video, toxicology fellow Peter Appa discusses the emergency management of iron toxicity following the ingestion of a bottle of iron pills by a 17-year-old female. Here's a concise summary:

1. Amount of Iron Ingested:
   • The mnemonic "357 magnum" is used to estimate the amount of iron ingested.Stages of Iron Toxicity:
   • The five stages include:
     • Nausea and vomiting
     • Gastric scarring
     • Small bowel structures

6.Whole Bowel Irrigation:

• Polyethylene glycol is recommended for whole bowel irrigation in cases with potential for serious toxicity.2.3.4.5.7.

In the "OHSU Tox Shorts: Iron Toxicity" video, toxicology fellow Peter Appa discusses the emergency management of iron toxicity following the ingestion of a bottle of iron pills by a 17-year-old female. Here's a concise summary:

1. 
   

   Amount of Iron Ingested:

   
   
   
   
   • The mnemonic "357 magnum" is used to estimate the amount of iron ingested.
   
   
   • The patient took approximately 100 milligrams per kilogram.
   
   
   
   


2. 
   

   Initial Management:

   
   
   
   
   • IV fluid resuscitation is essential.
   
   
   • Antiemetics are administered.
   
   
   • A KUB X-ray is performed.
   
   
   
   


3. 
   

   Severe Cases:

   
   
   
   
   • For severe iron toxicity, deferoxamine chelation therapy may be necessary.
   
   
   • Therapy starts at 15 milligrams per kilogram per hour, titrating up to 45 milligrams per kilogram per hour.
   
   
   
   


4. 
   

   Whole Bowel Irrigation:

   
   
   
   
   • Polyethylene glycol is recommended for whole bowel irrigation in cases with potential for serious toxicity.
   
   
   
   


5. 
   

   Stages of Iron Toxicity:

   
   
   
   
   • The five stages include:
     
     
     
     • Nausea and vomiting
     
     
     • Gastric scarring
     
     
     • Small bowel structures
     
     
     
     
   
   
   
   


6. 
   

   What Not to Do:

   
   
   
   
   • Avoid using activated charcoal or lavage.
   
   
   
   


7. 
   

   Asymptomatic Patients:

   
   
   
   
   • The treatment algorithm for asymptomatic patients with a history of small iron ingestions is outlined.
   
   
   
   

Remember to consult a medical professional for personalized advice and management .