Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map
Self-Assessment Questions

Pediatric Medicine

Answer 2
  1. Administer deferoxamine. Iron poisoning is one of the most common potentially fatal intoxications in children. Chelation therapy with parenteral deferoxamine enhances excretion of iron and is indicated in very symptomatic children, regardless of the serum iron level; it is the antidote for significant iron poisoning. Iron does not bind to activated charcoal. Only 50% of radiographs are positive in children who ingest iron tablets; thus, lack of radiographic evidence proves nothing. The mainstay of GI decontamination is early and aggressive use of whole bowel irrigation, which should be used regardless of serum iron level. Hemodialysis is only indicated as an adjuvant to chelation therapy in patients with renal failure; it removes chelated iron but not free iron.

Click here to return to the questions


Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 1/04/08 • kkj