You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information.
What is Gastric Lavage is contraindicated in poisoining with: (PGI Dec 2008) and explain in detail?
Ans: A ( Kerosene) Gastric lavage Is C/l in kerosene poisoningGastric evacuation for pure petroleum distillate or turpentine ingestion is not recommended" - Reddy 27th/522Gastric Lavage (G. L) - C/l or Precautions# The only absolute C/l for G. L. is corrosive poison ingQ (except carbolic acidiy}, owring to the danger of perforation# In following conditions - stomach wash can be done by taking proper precautionsi. Convulsant poisonsQ - As itmay lead to convulsion, lavage should be done after controlling convulsionii. Comatose patientQ - There is risk of aspiration of fluid into the air passage. The airway should be sealed by cuffed endotracheal tube(8 to 9 no.) & then lavage doneiii. Volatile poison' - Which may be inhalediv. Upper alimentaryfi disease - Like oesophageal variesv. In patient with marked hypothermia & haemorrhagic diastbesisGastric LavageIt is useful any time within 3hr after ingestion of poison (Reddy)It is life saving if undertaken within 4-6 hr after ingestion of poison {ParikhjGL most effective if done within 2-3 hr after ingestion of poison (modi)In case of irritent poison, the stomach should be passed with caution (modi),As poisoning - "Stomach should be repeatedly washed by warm water & milk" (Reddy 27th/473)Morphine poisoning - Wash stomach with 1:5000 solution of KMnOf" (Reddy 27th/516)Datura poisoning - "Wash stomach repeatedly with a weak solution of tannic acid"(Reddy 27th/533)Organophosphorus poisoning - "Stomach should be %vashed with 1 : 5000 KMn04 solution"(Reddy 27th/459)C/I of Emetics# Same as for stomach wash &Severe heart & lung diseaseAdvanced pregnancy'After ingestion of a CNS stimulant, because further stimulation associated with vomiting may produce convulsion.