TY - CHAP M1 - Book, Section TI - Antidotes in Depth A1 - Smith, Silas W. A1 - Howland, Mary Ann A2 - Hoffman, Robert S. A2 - Howland, Mary Ann A2 - Lewin, Neal A. A2 - Nelson, Lewis S. A2 - Goldfrank, Lewis R. PY - 2015 T2 - Goldfrank's Toxicologic Emergencies, 10e AB - To alter xenobiotic pharmacokinetics, the approach to a poisoned patient may include administration of gastrointestinal (GI) evacuants. Selected patients may benefit from minimizing systemic exposure by decreasing GI transit time and increasing rectal expulsion. The most effective process of evacuating the GI tract in poisoned patients is referred to as whole-bowel irrigation (WBI). WBI is typically accomplished using polyethylene glycol with a balanced electrolyte lavage solution (PEG-ELS). A detailed discussion of the merits of WBI in the context of various decontamination strategies is provided in Chap. 8. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1108421329 ER -