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학습 자료 둘러보기 →For an alert child with no respiratory distress after ingesting a corrosive alkali like household bleach, the priority is dilution. Administer small sips of water or milk (up to 15 mL/kg) to reduce mucosal contact time and wash the substance from the esophagus.
Do not assume the absence of injury based on a lack of oral burns; significant esophageal damage can still be present. Continuous assessment of airway, breathing, and voice quality is critical.
Never induce vomiting or perform gastric lavage. Vomiting re-exposes the mucosa to the caustic agent, and instrumentation risks perforation. Activated charcoal is ineffective and contraindicated.
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