TY - JOUR PY - 1990// TI - Whole-bowel irrigation as treatment for zinc sulfate overdose JO - Annals of emergency medicine A1 - Burkhart, K. K. A1 - Kulig, K. W. A1 - Rumack, B. SP - 1167 EP - 1170 VL - 19 IS - 10 N2 - A 16-year-old boy ingested approximately 50 zinc sulfate tablets (ZnSO4; 500-mg tablets). After spontaneous emesis, ipecac-induced emesis, and orogastric lavage, an abdominal radiograph performed four hours after ingestion still demonstrated approximately 50 ZnSO4 tablets within the stomach and three pills within the colon. Whole-bowel irrigation was begun with a polyethylene glycol lavage solution (PEG; Golytely) that was administered through a nasogastric tube; within one hour, the patient began producing a rectal effluent that contained pills. The patient remained asymptomatic throughout whole-bowel irrigation. Stool guaiac tests were negative. The serum chloride, however, increased from 105 to 127 mEq/L. Follow-up kidney, ureter, and bladder studies demonstrated the clearance of the zinc tablets from the gastrointestinal tract during the next 24 hours.

Language: en

LA - en SN - 0196-0644 UR - http://dx.doi.org/ ID - ref1 ER -