How to Treat Salicylate Poisoning?


Things to note:
  • Consider pulmonary and/or cerebral oedema admission to ICU.

Medical Treatment:
  • Urine alkalinization.
  • If the patient has respiratory alkalosis, do not give.
  • Close monitoring of laboratory data where available.
  • Urinary alkalinization increases the elimination of poison by intravenous sodium bicarbonate in order to produce urine with pH greater than 7.5.
  • Consider haemodialysis when acidosis does not respond quickly to sodium bicarbonate.