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    Chlorinated lime poisoning

    Definition

    This poisoning is from an ingestion of chlorinated lime.

    Alternative Names

     

    Poisonous Ingredient

    Chlorinated lime (a corrosive alkali)

    Where Found

    • Bleach
    • Used in a number of manufacturing processes

    Note: This list may not be all inclusive.

    Symptoms

    • Respiratory
      • Breathing difficulty (from inhalation)
      • Throat swelling (which may also cause breathing difficulty)
    • 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)
      • 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)

    Home Care

    DO NOT make a person throw up unless told to do so by Poison Control or a health care professional. Seek immediate medical help.

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

    If the chemical was swallowed, immediately give the person water or milk, unless instructed otherwise by a health care provider. DO NOT give water or milk if the patient is having symptoms (such as vomiting, convulsions, or a decreased level of alertness) that make it hard to swallow.

    If the person breathed in the poison, immediately move him or her to fresh air.

    Before Calling Emergency

    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.

    Take the container with you to the hospital, if possible.

    See National Poison Control center.

    What to Expect at the Emergency Room

    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
    • Activated charcoal
    • A nasogastric (NG) tube thru the nose into the stomach to empty the stomach (gastric lavage) 
    • Medicines to treat an allergic reaction (diphenhydramine, epinephrine, or prednisone)
    • Endoscopy -- the placement of a camera down the throat to see the extent of burns to the esophagus and the stomach
    • Medicine (antidote) to reverse the effect of the poison
    • Bronchoscopy (camera down the throat to see burns in the airway and lungs)
    • Oxygen
    • Breathing tube
    • Irrigation (washing of the skin), perhaps every few hours for several days
    • Skin debridment (surgical removal of burned skin)

    In severe cases, the patient may be admitted to the hospital.

    Outlook (Prognosis)

    How well a patient does depends on the amount of poison swallowed and how quickly treatment was received. The faster a patient gets medical help, the better the chance for recovery.


    Review Date: 4/16/2004
    Reviewed By: Cherlin Johnson, M.D., Department of Emergency Medicine, University of Southern California, Los Angeles, CA. Review provided by VeriMed Healthcare Network.
    The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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