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. 2018 Nov 16;6(4):350–361. doi: 10.14218/JCTH.2018.00040

Table 1. Therapy of patients with acute intoxications by AHH.

Therapy approaches Ingestion Inhalation
1. Qualitative and quantitative analysis of AHH as the suspected toxin, associated with evaluation of individual toxicity risk + +
2. Endotracheal intubation after evaluation for individual risk of aspiration due to AHH ingestion +
3. Primary toxin elimination by gastro-intestinal lavage in the intubated patient +
4. Forced CO2-induced ventilation + +
5. Central venous access + +
6. Intravenous cimetidine as bolus (200 mg), then 1600 mg for the initial 24 hours via infusion pump and for the subsequent days + +
7. Intravenous 400 g glucose/24 hours at admission and on subsequent days + +
8. Intravenous electrolytes and forced diuresis + +
9. Liquemin 15,000 IU/24 hours at admission and on subsequent days + +