Because adsorption to activated charcoal is minimal, whole bowel irrigation is the GI decontamination method of choice. Treat patients who are symptomatic with deferoxamine, regardless of iron level. Admit patients who have been hemodynamically unstable to an intensive care unit. Whole bowel irrigation may be of benefit. Other modalities that may be essential include mechanical ventilation and blood product transfusions.
Aggressive hydration aids in eliminating chelated iron by maintaining an appropriate urine output.
Transfer patients if intensive care facilities or deferoxamine is not available locally. Safe keeping of all medications, not just iron pills, from young children is important. All medicines should be kept out of reach of children. Patients in stage 2 may appear well but still have the potential of cardiovascular collapse. Redistribution of iron in tissues is the reason that the level is low.