Disposition

Patients who remain asymptomatic 6 h after ingestion do not require hospital admission for toxicologic reasons. They may still require hospital admission because of other coexisting medical or psychiatric conditions. Psychiatric evaluation is warranted for intentional drug ingestions. All symptomatic patients require hospital admission to a monitored bed. Patients demonstrating signs of moderate to severe toxicity should be admitted to an intensive care unit. Hospitalized patients can be cleared medically after 12 h of being asymptomatic: including a normal or baseline ECG, normal mental status, and resolution of all antimuscarinic symptoms.

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