What would be the best approach for preventing absorption in an 18-month-old child who has swallowed over-the-counter antihistamine tablets 30 minutes ago?
a. Diluting the toxic substance with water or milk
b. Administering naloxone
c. Administering activated charcoal with a oral syringe
d. Administering ipecac syrup
C
Activated charcoal has become the recommended treatment for acute poisonings in the pediatric population and is most effective when administered within 60 minutes of ingestion. Dilution is used for acid or alkali ingestions. Naloxone (Narcan) is the antidote for an opioid overdose. It is not indicated for use in ingestion of antihistamine tablets. Ipecac is no longer recommended as the first line of treatment for treating accidental ingestions.
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