1. Corrosive poisoning
2. Organophosphorus poisoning
3. Iron intoxication
4. Turpentine oil ingestion
Select the correct answer using the codes given below:
Gastric Lavage Contraindications Analysis
Gastric lavage involves washing out the stomach contents. It is used to remove ingested poisons but is not suitable for all situations. Contraindications exist when the risks of the procedure outweigh potential benefits.
Poisoning Scenarios and Lavage
The suitability of gastric lavage depends on the specific substance ingested and the risks involved:
- 1. Corrosive Poisoning: Substances like strong acids or alkalis cause severe burns. Performing gastric lavage can lead to re-exposure, increasing the risk of perforation or worsening esophageal and gastric injury. Therefore, it is contraindicated.
- 2. Organophosphorus Poisoning: While specific protocols exist, gastric lavage is often considered, especially if performed soon after ingestion, to remove residual insecticide. It is generally indicated, not contraindicated.
- 3. Iron Intoxication: Gastric lavage may be considered in significant iron overdose, although other treatments are primary. It is not typically listed as a strict contraindication.
- 4. Turpentine Oil Ingestion: Turpentine oil is readily absorbed and poses a significant risk of aspiration, potentially leading to chemical pneumonitis. Due to this high aspiration risk, gastric lavage is generally contraindicated.
Conclusion on Contraindications
Based on the analysis, gastric lavage is contraindicated in:
- Corrosive poisoning (1)
- Turpentine oil ingestion (4)
Therefore, the correct option combining these is 4 and 1.
Important Questions from Childhood Injuries and Poisoning
- Consider the following pairs :How many of the pairs given above are correctly matched ?
Urine colour Possible causative agent in a child with suspected poisoning 1. Pink - Cephalosporin 2. Brown - Chloroquine 3. Greenish blue - Phenazopyridine 4. Red-orange - Amitriptyline - A child presents to the emergency following ingestion of around 20 mL of kerosene oil about 40 minutes back. The child appears stable. Which one of the following measures should be done for the management of the child?
- In case of a child with an acute poisoning by ingestion, activated charcoal may be used in which one of the following situations?
- After sustaining a head injury, an 18 month old child displays eye opening only to pain, moans on painful stimuli and withdraws to painful stimuli. What is the modified Glasgow Coma Scale Score in this child ?
An 8 year old child has consumed a few tablets of a drug that were being taken by his motheron a regular basis. Following this the child develops gastric necrosis, acidosis, shock and hepatic necrosis. Which is the most likely drug?
