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.
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