Atypical antipsychotic medication poisoning: An evidence-based consensus guideline for out-of-hospital management.

Autor: Cobaugh, Daniel J., Erdman, Andrew R., Booze, Lisa L., Scharman, Elizabeth J., Christianson, Gwenn, Manoguerra, Anthony S., Martin Caravati, E., Chyka, Peter A., Woolf, Alan D., Nelson, Lewis S., Troutman, William G.
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Zdroj: Clinical Toxicology (15563650); 2007, Vol. 45 Issue 8, p918-942, 25p, 1 Diagram, 4 Charts
Abstrakt: The objective of this guideline is to assist poison center personnel in the appropriate out-of-hospital triage and out-of-hospital management of patients with suspected acute ingestions of atypical antipsychotic medications by 1) describing the process by which an ingestion of an atypical antipsychotic medication might be evaluated, 2) identifying the key decision elements in managing cases of atypical antipsychotic medication ingestion, 3) providing clear and practical recommendations that reflect the current state of knowledge, and 4) identifying needs for research. This guideline applies to ingestion of atypical antipsychotic medications alone. Co-ingestion of additional substances could require different referral and management recommendations depending on the combined toxicities of the substances. This guideline is based on an assessment of current scientific and clinical information. The expert consensus panel recognizes that specific patient care decisions might be at variance with this guideline and are the prerogative of the patient and the health professionals providing care, considering all of the circumstances involved. This guideline does not substitute for clinical judgment. The grade of recommendation is in parentheses. 1) Patients with stated or suspected self-harm or the recipient of a potentially malicious administration of an atypical antipsychotic medication should be referred to an emergency department immediately. This activity should be guided by local poison center procedures... [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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