The Use of Activated Charcoal in Toxicology and Implications for APRN Practice

Author:

Bhimani AlishaORCID,Frenkel Tova Safier,Evans Dian Dowling

Abstract

This Research to Practice article is designed to help aid advanced practice registered nurses (APRNs) with up-to-date research guidelines in order to establish evidence-based changes in clinical practice within emergency medical care. The article, “Activated Charcoal and Poisoning: Is It Really Effective?” by Aksay et al. (2022), examines whether the usage of activated charcoal (AC) in current treatment protocols for ingested poisonings adds benefits, given recent controversies in its use. Study variables included clinical findings in relation to the drug being ingested, the frequency and usage of an antidote, the rate of being intubated, and the duration of being hospitalized comparing poisoned patients who received AC with those who did not. APRNs need to be aware of the current guidelines to help establish the appropriateness of use when administering AC and be able to evaluate patients during and after the administering of AC. Improved awareness and education regarding the different treatment modalities for toxicology patients such as AC can help with certain kinds of poisonings in the emergency department.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Emergency Nursing,Emergency Medicine

Reference9 articles.

1. Activated charcoal and poisoning: Is it really effective?;Aksay;American Journal of Therapeutics,2022

2. Position statement and practice guidelines on the use of multi-dose activated charcoal in the treatment of acute poisoning;Journal of Toxicology: Clinical Toxicology,1999

3. Up (to) date for Australian Toxicology and Toxinology guidelines;Chiew;Emergency Medicine Australasia,2021

4. Massive paracetamol overdose: An observational study of the effect of activated charcoal and increased acetylcysteine dose (ATOM-2);Chiew;Clinical Toxicology,2017

5. Sensitivity of dose-estimations for acute acetaminophen overdose in predicting hepatotoxicity risk using the Rumack-Matthew nomogram;Chomchai;Pharmacology Research & Perspectives,2022

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