Ipecacuanha emetic mixture

Emesis has been used for children and also for adults who refuse activated charcoal or gastric lavage, or if the poison is not absorbed by activated charcoal. Its routine use in emergency departments has been abandoned, as there is no clinical trial evidence that the procedure improves outcome for poisoned patients. Emesis is induced, in fully conscious patients only, by Ipecacuanha Emetic Mixture, Pediatric (BNF), 10 ml for a child 6-18 months, 15 ml for an older child and 30 ml for an adult, i.e. all ages may receive the same preparation but in a different dose, which is followed by a tumblerful of water (250 ml). The active constituent of ipecacuanha is emetine it can cause prolonged vomiting, diarrhoea and drowsiness that may be confused with effects of the ingested poison. Even... 

Emetic Mixture. Ipecacuanha wine, i ounce water, 1 ounce siinpto syrup, I ounce. Mix. For a child, 20 drops or m( re, every quarter of an hour until vomiting ensues. An adult may take from i to 1 ounce. 

Ipecac is a mixture of the alcohol-soluble alkaloid that is obtained from the South American plant Cephaelis ipecacuanha and is used solely in the form of syrup of ipecac. Apomorphine hydrochloride and copper sulfate are also emetics. Syrup of ipecac and copper sulfate cause emesis by locally irritating the stomach, whereas apomorphine stimulates the chemoreceptor trigger zone for emesis located in the caudal portion of the fourth ventricle (area postrema), which in turn stimulates the vomiting center in the lateral reticular formation of the medulla (see also Figure 73). 

Ipecac is a mixture of the alcohol-soluble alkaloid which is obtained from the South American plant Cephaelis ipecacuanha, and is used solely in the form of syrup of ipecac. Apomorphine hydrochloride and copper sulfate are also emetics. 

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