Decontamination
Activated charcoal not recommended
Gastric lavage unlikely to benefit
Oral sodium sulfate or magnesium sulfate
Prevents absorption by precipitating<unk>  ions into insoluble<unk>  sulfate
Do not give these medications IV as they will cause precipitation in renal tubules
Magnesium sulfate
250mg/kg for children
30g for adults
Supportive care
Electrolyte repletion
Ventilatory support as needed
Hemodialysis or CVVHDF
Both show increase elimination of<unk> 
CVVHDF showed to triple elimination with complete neurologic recovery in 24 hours in one case report 
Intravasation
Consider prophylactic antibiotics
IV extravasation outcomes improved with aspiration of<unk>  sulfate
Activated charcoal not recommended
Gastric lavage unlikely to benefit
Oral sodium sulfate or magnesium sulfate
Prevents absorption by precipitating<unk>  ions into insoluble<unk>  sulfate
Do not give these medications IV as they will cause precipitation in renal tubules
Magnesium sulfate
250mg/kg for children
30g for adults
Prevents absorption by precipitating<unk>  ions into insoluble<unk>  sulfate
Do not give these medications IV as they will cause precipitation in renal tubules
Magnesium sulfate
250mg/kg for children
30g for adults
250mg/kg for children
30g for adults
Electrolyte repletion
Ventilatory support as needed
Both show increase elimination of<unk> 
CVVHDF showed to triple elimination with complete neurologic recovery in 24 hours in one case report 
Consider prophylactic antibiotics
IV extravasation outcomes improved with aspiration of<unk>  sulfate
Barium toxicity
Aluminum toxicity
Zinc toxicity
Antimony toxicity
Silver toxicity
Arsenic toxicity
Mercury toxicity
Nickel toxicity