Hypotension ipecac

Treatment is supportive following exposure. The victim should be monitored for CNS and respiratory depression, metabolic acidosis, and hypotension. Ipecac-induced emesis is not recommended. On ocular exposure, the eyes should be irrigated for at least 15 min with tepid water. On dermal exposure, the exposed area should be washed with soap and water. If irritation, pain, swelling, lacrimation, or... 

Cardiotoxicity may occur if ipecac syrup is not vomited (noted as hypotension, tachycardia, precordial chest pain, pulmonary congestion, dyspnea, ventricular tachycardia and fibrillation, cardiacarrest). 

If ingested, syrup of ipecac-induced emesis should be avoided since seizures or lethargy can occur rapidly. Activated charcoal should be administered. Seizures should be treated with diazepam or phenytion. Atropine can be used to control signs of excess parasympathetic stimulation. If hypotension does not respond to intravenous fluids, dopamine or norepinephrine may be indicated. Antacids should be avoided since nicotine has greater absorption in an alkaline media. Vital signs and level of consciousness should be monitored closely. Further care is... 

Activated charcoal is effective in decreasing theophylline absorption from the gastrointestinal tract, and whole bowel irrigation is especially useful for decontamination of orally administered sustained-release formulations of the drug. Hypotension is often managed by saline infusion, though vasopressors may be required. The blood levels of theophylline are decreased by charcoal hemoperfusion or by hemodialysis. Ipecac fluid extract contains cardiotoxic alkaloids and should never be used as an emetic. The answer is (D). 

Toxic effects of ipecac and its alkaloids include gastrointestinal irritation (nausea, vomiting, diarrhea, abdominal pain, etc.), dizziness, hypotension, dyspnea, and tachycardia, among others (Goodman and oilman usd 26th). Side effects can result from abuse by individuals with eating disorders. Cardiac side effects can be severe, for example, myocarditis, cardiomyopathies, and arrhythmias, or even lethal. "... 

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