Poison, Hemodialysis is helpful

可血液透析(hemodialysis):急性中毒 consult Nephrologist  
Acetaminophen (paracetamol level >900 mg/L) [1, 2]

Barbiturates (>100 mg/dL) [1, 3]

Carbamazepine (serum levels >40 mg/L or hemodynamic instability). [1, 4]

Lithium (3--4.0 mEq/L with serious symptoms) [5].

Metformin (lactate >15 mmol/L and ABG pH < 7.0 with shock or organ failure) [1, 6]

Methanol (50 mg/dL) and Ethylene glycol (50 mg/dL) [7].

Mushroom, Amanita [8]

Salicylates (>100 mg/dL, AKI, lung edema, AMS, hepatic failure, coagulopathy.) [9]

Theophylline (level >100 mg/L) with acute overdose

Theophylline level >60 mg/L) with chronic toxicity

severe toxicity – dysrhythmia, hypotension or seizures. [10].

Valproic acid (> 700mcg/ml) [11]

 REFERENCES

1.      https://www.dynamed.com/management/dialysis-for-acute-poisonings

2.      Serjeant L, Evans J, Sampaziotis F, Petchey WG. Haemodialysis in acute paracetamol poisoning. BMJ Case Rep. 2017;2017:bcr2016218667. Published 2017 Jan 17. doi:10.1136/bcr-2016-218667

3.      https://emedicine.medscape.com/article/813155-followup

4.      https://litfl.com/carbamazepine-toxicity-tox-library/

5.      http://www.tsim.org.tw/journal/jour12-5/P12_241.PDF

6.      https://www.hindawi.com/journals/cricc/2018/3868051/

7.      急診醫學會 AILS第三版，p. 258

8.      Warden CR, Benjamin DR. Acute renal failure associated with suspected Amanita smithiana mushroom ingestions: a case series. Acad Emerg Med. 1998;5(8):808–812. doi:10.1111/j.1553-2712.1998.tb02508.x

9.      急診醫學會 AILS第三版，p. 348

10.  https://litfl.com/theophylline-tox-library/

11.  Nasa P, Sehrawat D, Kansal S, Chawla R. Effectiveness of hemodialysis in a case of severe valproate overdose. Indian J Crit Care Med. 2011 Apr;15(2):120-2. doi: 10.4103/0972-5229.83020. PMID: 21814378; PMCID: PMC3145297.

-- edited 21th December 2019, Yu-Jang Su.