@article{ref1,
title="Acute iron poisoning: management guidelines",
journal="Indian pediatrics",
year="2003",
author="Baranwal, Arun K. and Singhi, Sunit C.",
volume="40",
number="6",
pages="534-540",
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 &quot;vin-rose&quot; 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.<p /><p>Language: en</p>",
language="en",
issn="0019-6061",
doi="",
url="http://dx.doi.org/"
}