This poisoning is due to ammonium hydroxide.

Ammonium hydroxide

Ammonium hydroxide is found in many industrial products and cleaners such as flooring strippers, brick cleaners, and cements.

Ammonium hydroxide can also release ammonia gas into the air.

Ammonia alone (not ammonium hydroxide) can be found in many household items such as detergents, stain removers, bleaches, and dyes. The symptoms and treatment for ammonia exposure are similar to those for ammonium hydroxide.

Note: This list may not be all inclusive.

• Respiratory
  • Breathing difficulty (from inhalation)
  • Throat swelling (which may also cause breathing difficulty)
  • Coughing
  • Wheezing
• Eyes, ears, nose, and throat
  • Severe pain in the throat
  • Severe pain or burning in the nose, eyes, ears, lips, or tongue
  • Loss of vision
• Gastrointestinal
  • Severe abdominal pain
  • Vomiting
  • Burns of the esophagus (food pipe) and stomach
  • Vomiting blood
  • Blood in the stool
• Heart and blood vessels
  • Hypotension (low blood pressure) develops rapidly
  • Collapse
• Skin
  • Irritation
  • Burn
  • Necrosis (holes) in the skin or underlying tissues
• Blood
  • Severe change in pH (too much or too little acid in the blood, which leads to damage in all of the body organs)

DO NOT make the person throw up.

If ammonium hydroxide is on the skin or in the eyes, flush with lots of water for at least 15 minutes.

If the person swallowed ammonium hydroxide, immediately give milk or water. Fruit juices may also be given.

If the person breathed in fumes, immediately move the patient to fresh air.

Determine the following information:

• The patient's age, weight, and condition
• The name of the product (ingredients and strengths, if known)
• The time it was swallowed
• The amount swallowed

The 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 U.S. 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.

The health care provider will measure and monitor the patient's vital signs, including temperature, pulse, breathing rate, and blood pressure.

The patient may receive:

• Fluids
• Medicines to treat symptoms
• Medicine to reverse the effect of the poison (an antidote)
• Breathing assistance
• Endoscopy  
• Bronchoscopy  
• Irrigation (washing of the skin)
• Skin debridement (surgical removal of burned skin)

Some patients may be admitted to the hospital.

Survival past 48 hours usually indicates recovery will occur. If a chemical burn occurred in the eye, permanent blindness will probably result.

How well a patient does depends on the strength of the chemical and how fast the poison was diluted and neutralized. Extensive damage to the mouth, throat, eyes, lungs, esophagus, nose, and stomach are possible.

The ultimate outcome depends on the extent of this damage. Damage continues to occur to the esophagus and stomach for several weeks after the poison was swallowed, and death may occur as long as a month later.