TY  - JOUR
PY  - 2003//
TI  - Acute iron poisoning: management guidelines
JO  - Indian pediatrics
A1  - Baranwal, Arun K.
A1  - Singhi, Sunit C.
SP  - 534
EP  - 540
VL  - 40
IS  - 6
N2  - 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 "vin-rose" 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>
LA  - en
SN  - 0019-6061
UR  - http://dx.doi.org/
ID  - ref1
ER  -