Iron poisoning in 4 year child, R X includes –a) Stomach lavageb) Desferrioxamine IV 100 mgc) X–ray abdomend) Blood transfusion

Iron poisoning Ingestion of a number of ferrous sulphate tablets may cause acute iron poisoning. Clinical features Severe vomiting                          GI bleeding      Diarrhea      There may be severe shock, hepatic & renal failure                          Treatment of Iron poisoning Because iron is radio-opaque abdominal radiography may confirm the ingestion. Repeat radiograph may help with assessment of the efficiency of gastric decontamination methods. Ipecac-induce emesis may be used to remove tablets from the stomach. Gastric lavage is not recommended in children because of its inefficiency. Activated charcoal does not adsorb iron and should not be used. Whole bowel irrigation may be of benefit. If tablets adhere to gastric mucosa, removal by endoscopy. Desferrioxamine is a specific shelter of iron and is the antidote of choice.