Emergency
Rat Pill Poisoning
The book's protocol for rat-pill (anticoagulant-type) poisoning: gastric lavage, baseline coagulation tests, vitamin K, IV fluid, antibiotic and PPI.
- ICD-10
- —
- Source
- OPD handbook pp.177–178
- Status
- Draft
Not yet reviewed by a clinician. Check doses and brands against current national guidelines before use.
Symptoms
- History of rat pill ingestion
Diagnosis
- Send baselines and keep an eye on PT, APTT, INR; correct coagulopathy
Treatment
Step 1 of 1
Management
- Gastric lavage with 2 litres normal saline
- Send baselines and keep an eye on PT, APTT and INR; correct coagulopathy
- Normal saline as IV fluid
- The list in the scan continues; only items 1–6 are visible
Prescription
Vitamin K injectionCoagulation antidote
Dose2 ampoules stat and then TDS
Brands Generic / hospital supply
Ceftriaxone3rd-generation cephalosporin
Dose1 g BD
Brand Inj Ceftriaxone
Also sold as Rocephin, Dayline, Oxidil
Resistance is widespread in Salmonella Typhi in Sindh and Punjab; use culture guidance.