How to detoxify vitamin A poisoning

Jan 04, 2023 Source: Cainiu Health
Dr. Yang Shuwen
Introduction
In cases of vitamin A poisoning requiring emesis, the patient should orally ingest a large amount of gastric lavage solution. Then, use a cotton swab or tongue depressor wrapped in gauze to stimulate the posterior pharyngeal wall to induce vomiting. Afterward, enema, catharsis, and diuresis may be administered to further eliminate the toxin. During induced vomiting for vitamin A poisoning, care must be taken to prevent severe vomiting that could lead to esophageal mucosal tears and bleeding. This procedure should be conducted under the guidance of medical professionals.

Vitamin A poisoning requires immediate cessation of vitamin A, vitamin D, and related substances once diagnosed, along with rapid promotion of their elimination from the body. This can be achieved through methods such as emesis induction, gastric lavage, and hemodialysis. Below are the specific steps for inducing vomiting:

1. Put on an apron for the patient and prepare a waste container.

2. Have the patient drink 500–600 ml of gastric lavage solution to induce vomiting.

3. Use a cotton swab or tongue depressor wrapped in gauze to stimulate the posterior pharyngeal wall, triggering a reflexive vomiting response.

4. After vomiting is complete, administer enemas, cathartics, or diuretics to further remove toxins.

Precautions:

When inducing vomiting for vitamin A poisoning, care must be taken to prevent severe vomiting that could lead to esophageal mucosal tears and bleeding. This procedure should be performed under the guidance of a medical professional.