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Activated charcoal effectively adsorbs almost all drugs and poisons Poorly adsorbed substances include iron, lithium, potassium, sodium, cyanide, mineral acids, and alcohols 1 Indications Activated charcoal should be used for prompt adsorption of drugs or toxins in the stomach and intestine Studies in volunteers show that activated charcoal given alone may be as effective as or more effective than ipecac-induced emesis or gastric lavage However, evidence of benefit in clinical studies is lacking Administration of charcoal, especially if mixed with sorbitol, can provoke vomiting, which could lead to pulmonary aspiration in an obtunded patient 2 Contraindications Activated charcoal should not be used for comatose or convulsing patients unless it can be given by gastric tube and the airway is first protected by a cuffed endotracheal tube It is also contraindicated for patients with ileus or intestinal obstruction or those who have ingested corrosives for whom endoscopy is planned



how to merge two pdf files using javascript

Merge pdf into single pdf - CodeProject
result.pdf"; // Prepare request to ` Merge PDF` API endpoint var ... data = JSON. parse(d) if (data.error == false) { // Download PDF file var file = fs.

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Cloud API – PDF Merging – JavaScript – Merge PDF Documents From URLs (Node. js ) var https = require( "https" ); var path = require( "path" );

Removal of ingested poisons was a routine part of emergency treatment for decades However, studies in volunteers indicate that if more than 60 minutes has passed, induced emesis and gastric lavage are relatively ineffective, and prospective clinical studies have failed to demonstrate improved outcome after gastric emptying For small or moderate ingestions of most substances, toxicologists generally recommend oral activated charcoal alone without prior gastric emptying Exceptions are large ingestions of anticholinergic compounds and salicylates, which often delay gastric emptying, and ingestion of sustained-release or enteric-coated tablets, which may remain intact for several hours Gastric emptying is not generally used for ingestion of corrosive agents or petroleum distillates, because further esophageal injury or pulmonary aspiration may result How-

Table 11-1:





how to merge pdf files using javascript

PDFKit
A JavaScript PDF generation library for Node and the browser. ... You can also read the guide as a self-generated PDF with example output displayed inline.

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Combine 2 documents via JS | Adobe Acrobat - AcrobatUsers.com
Is there a way to combine these two documents via JS and maintain the ... Now insert that PDF file just saved to the end of the first document

3 Technique Administer activated charcoal, 60 100 g orally or via gastric tube, mixed in aqueous slurry Repeated doses may be given to ensure gastrointestinal adsorption or to enhance elimination of some drugs (see below)

If you put an oscilloscope on the wire to measure voltage, you d see something like Figure 2-14 An oscilloscope is a powerful microscope that enables you to see electrical pulses

javascript merge pdf files

Merge pdf into single pdf - CodeProject
I believe that software is read-only; you would need software that can both read existings PDFs and write a new one (aka merged ).

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amphetamines, phencyclidine) is not very effective and is contraindicated in the presence of rhabdomyolysis or myoglobinuria 2 Hemodialysis The indications for dialysis are as follows: (1) Known or suspected potentially lethal amounts of a dialyzable drug (Table 38 4) (2) Poisoning with deep coma, apnea, severe hypotension, fluid and electrolyte or acid-base disturbance, or extreme body temperature changes that cannot be corrected by conventional measures (3) Poisoning in patients with severe renal, cardiac, pulmonary, or hepatic disease who will not be able to eliminate toxin by the usual mechanisms Continuous renal replacement therapy (also known as continuous venovenous hemodiafiltration) is of uncertain benefit for elimination of most poisons but has been used successfully in the management of lithium intoxication 3 Repeat-Dose Charcoal Repeated doses of activated charcoal, 20 30 g orally or via gastric tube every 3 4 hours, may hasten elimination of some drugs (eg, theophylline, phenobarbital) by absorbing drugs excreted into the gut lumen ( gut dialysis ) However, clinical studies have failed to prove better outcome using multiple-dose charcoal Sorbitol or other cathartics should not be used with each dose, or resulting large stool volumes may lead to dehydration or hypernatremia

Brahmi N et al Influence of activated charcoal on the pharmacokinetics and the clinical features of carbamazepine poisoning Am J Emerg Med 2006 Jul;24(4):440 3 [PMID: 16787802] Heard K Gastrointestinal decontamination Med Clin North Am 2005 Nov;89(6):1067 78 [PMID: 16227054]

1 Indications Cathartics are used by some toxicologists for stimulation of peristalsis to hasten the elimination of unabsorbed drugs and poisons and the activated charcoal slurry There is no clinical evidence to support their use, and some agents (eg, sorbitol) can provoke vomiting, increasing the risk of pulmonary aspiration 2 Contraindications and Cautions Do not use mineral oil or other oil-based cathartics Do not give a cathartic to patients with suspected intestinal obstruction Avoid sodium-based cathartics in patients with hypertension, renal failure, and congestive heart failure and magnesiumbased cathartics in patients with renal failure Sorbitol (an osmotic cathartic found in some prepackaged activated charcoal slurry products) can cause hypotension and dehydration due to third-spacing and also causes intestinal cramping and vomiting 3 Technique Magnesium sulfate 10%, 2 3 mL/kg, or other agents given orally or via gastric tube

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Merge two PDF files | TO THE NEW Blog
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