DefinitionPoisoning is caused by swallowing, injecting, breathing in, or otherwise being exposed to a harmful substance. Most poisonings occur by accident. Show
Immediate first aid is very important in a poisoning emergency. The first aid you give before getting medical help can save a person's life. This is for information only and not for use in the treatment or management of an actual poison exposure. If you have an exposure, you should call your local emergency number (such as 911) or the National Poison Control Center at 1-800-222-1222. ConsiderationsMillions of poisonings are reported to United States poison control centers every year, with many deaths. It is important to note that just because a package does not have a warning label doesn't mean it is safe. You should consider poisoning if someone suddenly becomes sick for no apparent reason, or if the person is found near a furnace, car, fire, or in an area that is not well ventilated. Symptoms of poisoning may take time to develop. However, if you think someone has been poisoned, do not wait for symptoms to develop before getting that person medical help. CausesItems that can cause poisoning include:
SymptomsSymptoms vary according to the poison, but may include:
First AidSeek immediate medical help. For poisoning by swallowing:
For inhalation poisoning:
Do Not
Call immediately for emergency medical assistance ifThe National Poison Control Center (1-800-222-1222) can be called from anywhere in the United States. This national hotline number will let you talk to experts in poisoning. They will give you further instructions. This is a free and confidential service. All local poison control centers in the United States use this national number. You should call if you have any questions about poisoning or poison prevention. It does NOT need to be an emergency. You can call for any reason, 24 hours a day, 7 days a week. Take the container with you to the hospital, if possible. See: Poison control center - emergency number PreventionBe aware of poisons in and around your home. Take steps to protect young children from toxic substances. Store all medicines, cleaners, cosmetics, and household chemicals out of reach of children, or in cabinets with childproof latches. Be familiar with plants in your home, yard, and vicinity. Keep your children informed, too. Remove any poisonous plants. Never eat wild plants, mushrooms, roots, or berries unless you very familiar with them. Teach children about the dangers of substances that contain poison. Label all poisons. Don't store household chemicals in food containers, even if they are labeled. Most nonfood substances are poisonous if taken in large doses. If you are concerned that industrial poisons might be polluting nearby land or water, report your concerns to the local health department or the state or federal Environmental Protection Agency. ReferencesHack JB, Hoffman RS. General management of poisoned patients. In: Tintinalli JE, Kelen GD, Stapczynski JS, Ma OJ, Cline DM, eds. Emergency Medicine: A Comprehensive Study Guide. 6th ed. Columbus, OH: McGraw-Hill; 2006:chap 156. Bronstein A, Spyker D, et al .2009 Annual Report of the American association of Poison Control Centers' National Poison Data System (NPDS). Clinical Toxicology 2010: 48; 979-1178. Reviewed By: Eric Perez, MD, Department of Emergency Medicine, St. Luke's-Roosevelt Hospital Center, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc. What will be the first step in treatment of poisoning?Wipe any vomit away from their mouth and keep their head pointing down, to allow any vomit to escape without them breathing it in or swallowing it. Do not give them anything to eat or drink. If the person is not breathing or their heart has stopped, begin CPR (cardiopulmonary resuscitation) if you know how to.
Which nursing intervention is a priority for the client who ingests a corrosive solution containing lye?The first priority while treating caustic ingestions is airway management. If there are any signs suggestive of respiratory distress, intubation may be required.
Which treatment would the nurse anticipate administering to a toddler who has acetaminophen poisoning?Acetaminophen Toxicity Treatment
The majority of patients survive acetaminophen toxicity with supportive care such as intravenous fluids and anti-nausea medication, activated charcoal, if used within one hour after ingestion, and antidotal therapy, including N-acetylcysteine (Acetadote®, Mucomyst®).
Which drug would be prescribed to a patient who has ingested a toxin?Activated charcoal is indicated for primary elimination of the toxin in moderate to severe cases of poisoning. It should be given as soon as possible (generally within 30 to 60 min of ingestion), and the patient must be alert and cooperative.
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