Activated Charcoal

  1. Class
  2. Mechanism of Action
    adsorbs toxins by chemical binding and prevents gastrointestinal adsorption
  3. Indications
    Poisoning following emesis or when emesis is contraindicated
  4. Contraindications
    oral administration to comatose pt., after ingestion of corrosives, caustics, or petroleum distillates (ineffective and may induce vomiting); simultaneous administration with other oral drugs
  5. Adverse reactions
    Nausea and vomiting, constipation
  6. Drug interactions
    bonds with and generally inactivates whatever it is mixed with, eg, syrup of ipecac
  7. How supplied
    25g (black powder)/125mL bottle (200 mg/mL); 50g (black powder)/250mL bottle (200mg/mL)
  8. Dosage and Administration
    • Note: if not in premixed slurry, dilute with 1 part charcoal/4 parts water.
    • Adult: 1-2 g/kg PO of via NGT.
    • Pediatric: 1-2 g/kg PO or via NGT
  9. Duration of action
    Depends in gastrointestinal function; will act until ecxcreted.
  10. Special Considerations
    often used in cponjunction with magnesium citrate. Must be stored in a closed container. Does not adsorb cyanide, lithium, iron, lead, or arsenic.
Card Set
Activated Charcoal
paramedic, pharmocology