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Foreign Body Ingestion — Lead-containing Foreign Bodies or Large Burdens of Lead Paint Chips — Clinical Pathway: Emergency, ICU and Inpatient

Foreign Body Ingestion Clinical Pathway — Emergency Department, ICU, and Inpatient

Lead-containing Foreign Bodies or Large Burdens of Lead Paint Chips

Lead-containing FBs may be result in significantly elevated blood lead levels within 24 hrs

Gastric location

  • Consult Toxicology and GI, obtain baseline blood lead level.
  • Prompt endoscopic removal should be considered.
  • Proton pump inhibitor and prokinetic therapy may also be of value.

Location beyond pylorus

  • Consult Toxicology and GI, obtain baseline blood lead level.
  • Whole bowel irrigation with Golytely may be of value, especially for large burdens of lead paint chips.
  • Rarely, there may be a role for endoscopy or surgery.

 

 

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