Binds (adsorbs) toxic substances inhibiting gastrointestinal absorption, leaving less toxic substance in body circulation; increasing fecal elimination of drug/charcoal complex
Activated Charcoal
indications
Suspected ingestion of drugs or chemicals
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
Activated Charcoal
side effects
Respiratory: choking
Gastrointestinal: vomiting, black stools, abdominal cramping/bloating
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
Activated Charcoal
interactions
Does not adsorb cyanide, ethanol, methanol, ferrous sulfate, caustic alkali or mineral acids, or lithium
Activated Charcoal
routes
PO voluntarily by patient or PO via nasogastric/orogastric tube
Activated Charcoal
onset and duration
Onset is immediate, peak effect and duration are unknown
Activated Charcoal
dosages
Adult: Initially 1g/kg PO
Pediatric: Initially 1g/kg PO
Activated Charcoal
notes
Most effective if administered within 30 minutes of ingestion
Use very cautiously in patients who cannot protect their own airway
Author
RunNickMarini
ID
18392
Card Set
NCTI- Pharmacology- Drug List A- Activated Charcoal
Description
NCTI- Pharmacology- Drug List A- Activated Charcoal