The nurse is teaching a class on the management of poisoning to emergency department nurses
The nurse asks the class, "Gastric lavage and aspiration should be reserved for which situation or situations?" Which of the following would be correct? (Select all that apply.) a. Patients who have ingested caustic agents
b. Situations in which the poison was ingested during the preceding hour
c. Comatose patients
d. Patients who have significant cardiac dysrhythmia
e. Life-threatening ingestion of poison
B, E
Gastric lavage and aspiration are reserved for patients in life-threatening situations and only if less than 60 minutes has elapsed since the poison was ingested.
Gastric lavage and aspiration are contraindicated in patients who have ingested caustic agents because of the risk of esophageal perforation.
Gastric lavage and aspiration are contraindicated in comatose patients because of the risk of as-piration.
Gastric lavage and aspiration are contraindicated in patients with significant cardiac dysrhyth-mias.
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