Conservative, supportive therapy is the mainstay of treatment of anticholinergic toxicity ( Table l77z2.). Evaluation of the airway, breathing, and circulation is a priority. An intravenous line should be established and an ECG monitor placed in any patient with significant symptoms. Gastric lavage may be useful in patients presenting within 1 h of ingestion.5 Activated charcoal may be useful to decrease drug absorption, particularly with agents that undergo enterohepatic circulation or when the agents ingested are unknown.

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