RT Book, Section 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. SR Print(0) ID 1108421329 T1 Antidotes in Depth T2 Goldfrank's Toxicologic Emergencies, 10e YR 2015 FD 2015 PB McGraw-Hill Education PP New York, NY SN 9780071801843 LK accesspharmacy.mhmedical.com/content.aspx?aid=1108421329 RD 2024/04/20 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.