Consult Toxicology or poison control
Decontamination
Gastric lavage may be of benefit
Activated charcoal
Additionally may use multi-dose activated charcoal due to enterohepatic circulation
Dermal exposure
Irrigation with soap and water
Supportive Care
Fluid resuscitation
Electrolyte repletion
Monitor I/Os
Antiemetics
Blood transfusions based on institutional criteria
Chelation
Dimercaprol
200-600mg/d IM shown in a case series to increase urinary excretion of<unk> 1
Succimer
Dimercaptopropane-sulfonic acid (DMPS)
All have shown improved survival in animal models
Gastric lavage may be of benefit
Activated charcoal
Additionally may use multi-dose activated charcoal due to enterohepatic circulation
Dermal exposure
Irrigation with soap and water
Additionally may use multi-dose activated charcoal due to enterohepatic circulation
Irrigation with soap and water
Fluid resuscitation
Electrolyte repletion
Monitor I/Os
Antiemetics
Blood transfusions based on institutional criteria
Dimercaprol
200-600mg/d IM shown in a case series to increase urinary excretion of<unk> 1
Succimer
Dimercaptopropane-sulfonic acid (DMPS)
All have shown improved survival in animal models
200-600mg/d IM shown in a case series to increase urinary excretion of<unk> 1
Place on high flow oxygen
Consider need for exchange transfusion to remove stibine-hemoglobin complexes
Antimony toxicity
Aluminum toxicity
Thallium toxicity
Organophosphate toxicity
Arsenic toxicity
Xylazine toxicity
Barium toxicity
Chromium toxicity