Poisoning
Topic OverviewA poison is a substance that has toxic
effects and may injure you or make you sick if you are exposed to it. Poisons
can be found everywhere, from simple household cleaners to cosmetics to
houseplants to industrial chemicals. Even medicines that are taken in the wrong
dose, at the wrong time, or by the wrong person can cause a toxic effect.
Poisonous substances can hurt you if they are swallowed, inhaled, spilled on
your skin, or splashed in your eyes. In most cases, any product that gives off
fumes or is an aerosol that can be inhaled should be considered a possible
poison. More than 90% of poisonings occur in the home. Young
children have the highest risk of poisoning because of their natural curiosity.
More than half of poisonings in children occur in those who are younger than
age 6. Some children will swallow just about anything, including unappetizing
substances that are poisonous. When in doubt, assume the worst. Always believe
a child or a witness, such as another child or a brother or sister, who reports
that poison has been swallowed. Many poisonings occur when an adult who is
using a poisonous product around children becomes distracted by the doorbell, a
telephone, or some other interruption. Young children are also at high risk for accidental poisoning from nonprescription and prescription medicines. Even though medicine bottles are packaged to prevent a child from opening them, be sure to keep all medicines away from where children can reach them. Teenagers also have an
increased risk of poisonings, both accidental and intentional, because of their
risk-taking behavior. Some teens experiment with poisonous substances such as
by sniffing toxic glues or inhaling aerosol substances to get "high." About
half of all poisonings in teens are classified as
suicide attempts, which always requires medical
evaluation. Adults-especially older adults-are at risk for
accidental and intentional poisonings from: - Alcohol and illegal drugs. For more information,
see the topic
Alcohol and Drug Problems.
- Gas leaks, such
as exhaust leaks from heaters and stoves and automobile exhaust. For more
information, see the topic
Carbon Monoxide Poisoning.
- Medicines, such
as acetaminophen, antibiotics, cough and cold remedies, vitamins, pain
relievers, sleeping pills, and tranquilizers.
- Household cleaning
supplies and other substances, such as cosmetics, antifreeze, windshield
cleaner, gardening products, and paint thinners.
- Herbal
products.
Symptoms of poisoningsThe symptoms of a suspected
poisoning may vary depending on the person's age, the type of poisonous
substance, the amount of poison involved, and how much time has passed since
the poisoning occurred. Some common symptoms that might point to a poisoning
include: - Nausea and
vomiting.
- Cramps.
- Throat
pain.
- Drooling.
- Sudden sleepiness, confusion, or
decreased alertness.
- Anxiousness, nervousness, irritability, or
tremors.
- Seizures.
- Substance residue or burn around the
mouth, teeth, eyes, or on the skin.
- Trouble
breathing.
- Headache.
Poison control centers, hospitals, or your doctor can
give immediate advice in the case of a poisoning. The United States
National Poison Control Hotline phone number is
1-800-222-1222. Have the poison container with you so
you can give complete information to the poison control center, such as what
the poison or substance is, how much was taken and when. Do not try to make the person vomit. Check Your SymptomsDo you have a concern about a possible poisoning or a poisonous substance? Yes Concern about a possible poisoning No Concern about a possible poisoning How old are you? Less than 12 years Less than 12 years 12 years or older 12 years or older Do you have a heat or chemical burn to the eye? Yes Heat or chemical burn to eye No Heat or chemical burn to eye Have you swallowed or inhaled something that might be poisonous? Yes Ingested known or suspected poison No Ingested known or suspected poison Are you having trouble breathing (more than a stuffy nose)? Yes Difficulty breathing more than a stuffy nose No Difficulty breathing more than a stuffy nose Did you pass out completely (lose consciousness)? If you are answering for someone else: Is the person unconscious now? (If you are answering this question for yourself, say no.) Are you back to your normal level of alertness? After passing out, it's normal to feel a little confused, weak, or lightheaded when you first wake up or come to. But unless something else is wrong, these symptoms should pass pretty quickly and you should soon feel about as awake and alert as you normally do. Yes Has returned to normal after loss of consciousness No Has returned to normal after loss of consciousness Do you have symptoms of shock? Is the behavior change becoming more severe? Yes Behavior problem is worsening No Behavior problem is worsening Many things can affect how your body responds to a symptom and what kind
of care you may need. These include: - Your age. Babies and older
adults tend to get sicker quicker.
- Your overall health. If you have a condition such as diabetes, HIV, cancer, or heart
disease, you may need to pay closer attention to certain symptoms and seek care
sooner.
- Medicines you take. Certain
medicines, herbal remedies, and supplements can cause symptoms or make them
worse.
- Recent health events, such as surgery
or injury. These kinds of events can cause symptoms afterwards or make them
more serious.
- Your health habits and lifestyle, such as eating and exercise habits, smoking, alcohol or drug
use, sexual history, and travel.
Try Home TreatmentYou have answered all the questions. Based on your answers, you may be
able to take care of this problem at home. - Try home treatment to relieve the
symptoms.
- Call your doctor if symptoms get worse or you have any
concerns (for example, if symptoms are not getting better as you would expect).
You may need care sooner.
Changes in behavior that can be caused by poisoning can include: - Becoming increasingly sleepy and having trouble
staying awake.
- Feeling restless, edgy, and angry for no
reason.
- Feeling confused and not thinking
clearly.
- Feeling very anxious or afraid for no reason.
Shock is a life-threatening condition that may quickly occur
after a sudden illness or injury. Symptoms of shock (most of which will be present) include: - Passing out (losing consciousness).
- Feeling very dizzy or
lightheaded, like you may pass out.
- Feeling very weak or having
trouble standing.
- Not feeling alert or able to think clearly. You
may be confused, restless, fearful, or unable to respond to questions.
Shock is a life-threatening condition that may occur quickly
after a sudden illness or injury. Symptoms of shock in a child may include: - Passing out (losing consciousness).
- Being very sleepy or hard
to wake up.
- Not responding when being touched or talked to.
- Breathing much faster than usual.
- Acting confused.
The child may not know where he or she is.
Symptoms of difficulty breathing can range from mild to severe. For example: - You may feel a little out of breath but still be able to talk (mild difficulty breathing), or you may be so out of breath that you cannot talk at all (severe difficulty breathing).
- It may be getting hard to breathe with activity (mild difficulty breathing), or you may have to work very hard to breathe even when you’re at rest (severe difficulty breathing).
Call 911 NowBased on your answers, you need
emergency care. Call911or other emergency services now. Seek Care NowBased on your answers, you may need care right away. - Call the local poison control center or the
National Poison Control Hotline (1-800-222-1222) now, before you do anything
else. The poison control center will tell you exactly what to
do.
- If possible, have the poison's container with you when you
call. The information on the container may be helpful to the poison control
center.
- If you cannot reach a poison control center by phone, go to the
nearest emergency room.
Seek Care TodayCall the local poison control center, the National Poison Control Hotline
(1-800-222-1222), or your doctor today for more information. Burns to the Eye Home TreatmentFirst aid home treatment measures for suspected poisoningCall a poison control center, hospital, or doctor immediately. The United
States National Poison Control Hotline phone number is
1-800-222-1222. Have the poison container with you so
you can give complete information to the poison control center. Do not try to make the person vomit. The poison control
center will be able to help you quickly if you have the following information
ready: - Your name and phone number
- The
name, age, weight, and health status of the person who has been
poisoned
- Type of product. Read the brand name as it is written on
the label. Include the list of ingredients and the company name and contact
number, if it is available on the label.
- Amount of product involved
in poisoning
- Type of poison exposure-swallowed, inhaled, or in
contact with the eyes or skin
- Time of poisoning
- Whether
the person vomited
- Any first aid measures taken
- Your
location and how far you are from an emergency medical facility
If the poison control center recommends medical evaluation,
take the product container or substance and any stomach contents that the
person vomited to help doctors determine the seriousness of the
poisoning. Note: Do not use syrup of ipecac. It is no
longer used to treat poisonings. If you have syrup of ipecac in your home,
call your pharmacist for instructions on how to dispose of it and throw away the container. Do not store anything
else in the container. Activated charcoal is also not used at home to treat poisonings. The poison control center has guidelines on what treatments are needed for all types of poisons. If a poisoning was intentional, first get help as described above. Then call your local suicide hotline or the national suicide hotline at 1-800-273-TALK (1-800-273-8255) for more help and advice. Symptoms to watch for during home treatmentFollow the instructions you received from your
doctor or the poison control center about seeking medical evaluation. Call your
doctor if any of the following occurs during home treatment: - New symptoms develop.
- Symptoms do
not go away as expected.
- Symptoms become more severe or
more frequent.
PreventionAbout 80% of poisonings occur in children
ages 1 to 4 years. Develop poison prevention habits
early, before your child is crawling. Babies grow so fast that sometimes they
are crawling and walking before you have time to protect them. General tips- Never leave a poisonous product unattended
around children, even for a moment. Many poisonings occur when an adult who is
using a poisonous product becomes distracted by the doorbell, a telephone, or
some other interruption.
- Be aware of common substances that are
poisonous, such as houseplants and cosmetics.
- Use childproof
latches on your cupboards.
- Keep products in their original
containers. Never store poisonous products in food
containers.
- Never leave alcohol within sight or reach of a child.
- Read product labels for caution statements, how to use the product
correctly, and first aid instructions.
- Keep the number of your
local poison control center near your phone.
Household poisons- Do not keep poisons such as drain cleaner, oven
cleaner, or plant food under your kitchen sink. Keep them out of the sight and
reach of children. Dishwasher detergent is especially
dangerous.
- Have your home tested for levels of lead if any older
leaded paints may still be present. For more information, see the topic
Lead Poisoning.
- Some house or garden
plants and the chemicals used to care for them (such as fertilizers) can be
poisonous if ingested. Be sure to teach your children not to play with
them.
Alcohol- Keep alcohol out of the sight and reach of
children.
- Educate your children about the effects of alcohol and
medicines. Encourage your teenager to avoid alcohol and
drugs.
- Provide nonalcoholic beverages at parties and meals. Don't
give your children the impression that adults need to drink alcohol in order to
have a good time.
Medicines- Put all medicines and vitamins out of the sight
and reach of children. Acetaminophen, such as Tylenol, is a common
source of childhood poisoning.
- Never call medicines
"candy."
- Keep medicines in their original labeled
containers.
- Buy nonprescription medicines in child-resistant
packages.
- Try to take medicines out of the sight of
children.
- Check
the label on the bottle each time you take a medicine to make sure you're
taking the correct one.
- Check the expiration dates on medicines. If your medicines are expired or no longer needed, you can read tips about how to dispose of them or you can call your pharmacist for instructions.
Preparing For Your AppointmentTo prepare for your appointment, see the topic Making the Most of Your Appointment. You can help your
doctor treat poisoning by being prepared to answer the following questions. Be
sure to bring the poisonous substance with you. - What substance do you suspect was
involved?
- When did the poisoning occur?
- Was the
substance swallowed, inhaled, spilled on the skin, or splashed in the
eyes?
- Have you ever been treated for a poisoning in the past? What
was the substance? How long ago? How was the poisoning treated?
- How
much of the substance was involved?
- What symptoms are
present?
- How long have symptoms been present?
- Have you called a poison control center? What advice did they give? Did it
work?
- What home treatment measures have been
tried?
- Have any nonprescription medicines been taken? What effect
did they have?
- What prescription and nonprescription medicines do
you take?
- Were alcohol or drugs involved in the
poisoning?
- Do you have any
health risks?
Other Places To Get HelpOrganizationAmerican Association of Poison Control Centers www.aapcc.org CreditsByHealthwise Staff Primary Medical ReviewerWilliam H. Blahd, Jr., MD, FACEP - Emergency Medicine Kathleen Romito, MD - Family Medicine Adam Husney, MD - Family Medicine Current as ofMarch 20, 2017 Current as of:
March 20, 2017 Last modified on: 8 September 2017
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