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Sodium Hypochlorite Poisoning

Bleaching Solution Toxicity


Presentation

  • Sodium Hypochlorite Poisoning is caused by the ingestion, inhalation, or exposure of skin to sodium hypochlorite compounds and products This intake could be accidental, or in some cases intentional, to bring self-harm Sodium hypochlorite is present in[dovemed.com]
  • The group issued the warning in a seminar at the Quezon Memorial Circle, where it presented eco-friendly substitutes for toxic household products. Resource speaker Dr.[newsinfo.inquirer.net]
  • A new study presented February 7 at the American Society for Microbiology’s Biothreats meeting reveals a ricin antidote that, in mice, works even days after exposure to the toxin.[sciencenews.org]
  • A less concentrated solution, such as 1% sodium hypochlorite, presents acceptable biological compatibility.[forp.usp.br]
  • However, Lewis et al (1997) has presented a comparison the toxicity of bromine and chlorine.[ukmarinesac.org.uk]
Fishing
  • Tuna (268 outbreaks; 2,341 cases): Fresh fish can decay soon after being caught, the C.S.P.I. reports, leading to scombroid poisoning caused by a poison called scombrotoxin.[nytimes.com]
  • […] drugs: Zetia vs Altace Zetia vs Aspirin Zetia vs Atorvastatin calcium Zetia vs Bystolic Zetia vs Caduet Zetia vs Clopidogrel Zetia vs Coenzyme q10 Zetia vs Crestor Zetia vs Diovan hct Zetia vs Ezetimibe; simvastatin Zetia vs Fenofibric acid Zetia vs Fish[ehealthme.com]
  • […] trout: LC50, 0.18-0.22 mg/l - Acute fish-bluegill sunfish: LC50, 0.44-0.79 mg/l - Acute invertebrate-daphnia: LC50, 0.033-0.048 mg/l Tolerance Assessment - An exemption from the requirement for a tolerance was established (40 CFR 180,1054) for residues[pmep.cce.cornell.edu]
  • Therefore, there is sufficient reason to assume that what harms the cells of fish is fully capable of harming the cells of humans.[liversupport.com]
Disability
  • The top 10 foods account for 1,500 separate outbreaks accounting for about 50,000 cases of food poisoning, some of which ended in long-term disability and death.[nytimes.com]
Falling
  • Also, certain complications (like yours) can make the experience dreadful (like files falling into a canal and must be retrieved, the tooth might still fracture after crown installed...etc) Granted, your experience was possibly a very rare, unfortunate[dentalfearcentral.org]
  • Low-level (3-5%, 1-15 ppm) acute exposure Most poisonings fall into this category and are caused by household exposure to low-concentration cleaning products.[emedicine.medscape.com]
Collapse
  • All three women eventually collapsed and were taken to hospitals by paramedics. In the emergency room, doctors mistook the symptoms for signs of respiratory distress unrelated to chemical exposure in all cases.[articles.latimes.com]
Painful Cough
  • Cough Sore throat Hemoptysis Findings on physical examination may include the following: Tachypnea Cyanosis (most prevalent during exertion) Tachycardia Wheezing Intercostal retractions Decreased breath sounds Rales (pulmonary edema) Nasal flaring Aphonia[emedicine.medscape.com]
Gagging
  • Each time I jumped up gagging and coughing with my throat burning they rinsed me with water still painful I continued to finish this and get it over with.[dentalfearcentral.org]
  • Symptoms of sodium hypochlorite poisoning may include: Burning, red eyes Chest pain Coma Coughing (from the fumes) Delirium Gagging sensation Low blood pressure Pain in the mouth or throat Possible burns on the esophagus Skin irritation of the exposed[salud.wikiplus.org]
  • The signs and symptoms of Sodium Hypochlorite Poisoning may include: Breathing difficulties, if fumes of the solution are inhaled Chest pain and gagging sensation; coughing Burning and associated pain in the mouth, throat, and food-pipe (even the stomach[dovemed.com]
  • Symptoms of fume exposure include coughing, mouth and throat pain, a gagging sensation, chest pain and lower heartbeat. Go outside and breathe fresh air immediately after Clorox fume exposure.[healthfully.com]
Abdominal Pain
  • pain Vomiting Seek immediate medical help.[salud.wikiplus.org]
  • pain Vomiting Heart and blood vessels Low blood pressure Bradycardia (slow heartbeat) Chest pain Shock Nervous system Delirium Coma Home Care Return to top Seek immediate medical help.[answers.yahoo.com]
  • , coma, seizures, diaphoresis, abdominal pain Respiratory alkalosis with progressive anion-gap metabolic acidosis, hyperglycemia/hypoglycemia, hypernatremia/hyponatremia, hypokalemia Cyclic antidepressants CNS excitability, confusion, blurred vision,[aafp.org]
  • Initial symptoms reported by parents whose children were admitted to the paediatric emergency care unit were mainly gastrointestinal (vomiting, abdominal pain) or neurological (impaired consciousness, hypotonia, ataxia, seizure), although cutaneous (rash[copublications.greenfacts.org]
Choking
  • This common household error produces a toxic gas that can cause choking and serious breathing problems.[salud.wikiplus.org]
Food Poisoning
  • The top 10 foods account for 1,500 separate outbreaks accounting for about 50,000 cases of food poisoning, some of which ended in long-term disability and death.[nytimes.com]
Odynophagia
Flushing
  • Symptoms include skin flushing, headaches, cramps, diarrhea and loss of vision. The remaining foods on the C.S.P.I. list are: 4. Oysters: 132 outbreaks; 3,409 cases. 5. Potatoes: 108 outbreaks; 3,659 cases. 6. Cheese: 83 outbreaks; 2,761 cases. 7.[nytimes.com]
  • 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.[salud.wikiplus.org]
  • Got bleach in their eye: Flush the eye with warm water for 10-15 minutes. The poison center can help you flush in the right way. Got bleach on their skin or hair: Wash up right away. Remove any clothing with bleach on it.[nnepc.org]
Blister
  • […] hypochlorite poisoning may include: Burning, red eyes Chest pain Coma Coughing (from the fumes) Delirium Gagging sensation Low blood pressure Pain in the mouth or throat Possible burns on the esophagus Skin irritation of the exposed area, burns, or blistering[salud.wikiplus.org]
  • […] difficulties, if fumes of the solution are inhaled Chest pain and gagging sensation; coughing Burning and associated pain in the mouth, throat, and food-pipe (even the stomach may be burnt) Speaking and swallowing difficulties Skin irritation and burns (blister[dovemed.com]
  • Burns cause varying degrees of pain, blisters, swelling, and skin loss. Small, shallow burns may need only to be kept clean and to have an antibiotic cream applied.[msdmanuals.com]
  • […] a whole Pain in the mouth Possible burns on esophagus Respiratory Coughing (from the fumes) Possible aspiration into lungs Eyes, ears, nose, and throat Pain in the throat Burning, red eyes Gagging sensation Skin Irritation of the exposed area Burns Blistering[answers.yahoo.com]
Fracture
  • Also, certain complications (like yours) can make the experience dreadful (like files falling into a canal and must be retrieved, the tooth might still fracture after crown installed...etc) Granted, your experience was possibly a very rare, unfortunate[dentalfearcentral.org]
  • The effect of cleaning procedures on fracture properties and corrosion of NiTi files. Int Endod J 2003; 36 : 724–732. 3. Estrela C, Estrela R A C, Barbin E L et al. Mechanism of action of sodium hypochlorite. Braz Dent J 2002; 13 : 113–117. 4.[nature.com]
Eye Irritation
  • May be harmful if swallowed or may cause severe eye irritation. Never mix chlorine bleach with cleaning products containing ammonia, or with vinegar. The resulting chloramine fumes are deadly.[books.google.com]
  • . - Boiling point: N/A - Melting point: N/A - Flash point: N/A Toxicity Characteristics - Toxicity category and value for sodium hypochlorite: - Acute oral toxicity: IV; LD50, 192 mg/kg - Acute dermal toxicity: III; LD50, 3,000 mg/kg - Primary eye irritation[pmep.cce.cornell.edu]
  • Warnings Both chemicals are toxic if ingested and can cause skin and eye irritation or injury. Hypochlorites are caustic and can be explosive.[ehow.co.uk]
  • Decontamination Area Unless previously decontaminated, all patients suspected of contact with hypochlorite and all victims with skin or eye irritation require decontamination as described below.[drharikumar.blogspot.com]
Red Eye
  • Symptoms of sodium hypochlorite poisoning may include: Burning, red eyes Chest pain Coma Coughing (from the fumes) Delirium Gagging sensation Low blood pressure Pain in the mouth or throat Possible burns on the esophagus Skin irritation of the exposed[salud.wikiplus.org]
  • Symptoms of sodium hypochlorite poisoning may include: Body as a whole Pain in the mouth Possible burns on esophagus Respiratory Coughing (from the fumes) Possible aspiration into lungs Eyes, ears, nose, and throat Pain in the throat Burning, red eyes[answers.yahoo.com]
Hematuria
  • Laboratory studies four days after the exposure revealed serum creatinine of 0.8 mg/dL, but urinalysis showed hematuria with 200 red blood cells per high-powered field and normal levels of urine myoglobin ( Figure 1: Photograph of the patient's facial[sjkdt.org]
Convulsions
  • DO NOT give water or milk if the person 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.[salud.wikiplus.org]
  • 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.[answers.yahoo.com]
  • Both of these chemicals, particularly cyanogen chloride, are pretty toxic, with effects of exposure including coughing, convulsions, and vomiting.[compoundchem.com]
  • Physical signs following ingestion of stimulants often include mydriasis (dilated pupils), tremor, tachycardia, irritability, diaphoresis, mania, convulsions and tachyarrhythmias.[aafp.org]

Workup

Treatment

  • […] to a hospital to continue treatment.[salud.wikiplus.org]
  • Everyone is different and not everyone has the same results from whatever treatments or solutions are out there. Too many variables factor in, it's a lot like gambling. Best wishes![dentalfearcentral.org]
  • DISCLAIMER : All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider.[ehealthme.com]

Prognosis

  • The prognosis of Sodium Hypochlorite Poisoning is dependent on the amount of substance consumed, time between consumption and treatment, severity of the symptoms, as well as general health status of the patient If the individual can recover from the symptoms[dovemed.com]
  • […] airways and lungs Oxygen For skin exposure, treatment may include: Irrigation (washing of the skin), perhaps every few hours for several days Skin debridement (surgical removal of burned skin) Transfer to a hospital that specializes in burn care Outlook (Prognosis[answers.yahoo.com]
  • 9.1.1 Ingestion 9.1.2 Inhalation 9.1.3 Skin exposure 9.1.4 Eye contact 9.1.5 Parenteral exposure 9.1.6 Other 9.2 Chronic poisoning 9.2.1 Ingestion 9.2.2 Inhalation 9.2.3 Skin exposure 9.2.4 Eye contact 9.2.5 Parenteral exposure 9.2.6 Other 9.3 Course, prognosis[inchem.org]
  • In addition, chlorine can be used in sabotage, warfare, and terrorist actions. [24, 25] For example, insurgents in Iraq incorporated chlorine tanks in vehicle-borne improvised explosive device attacks. [5] Prognosis Most individuals exposed to chlorine[emedicine.medscape.com]

Etiology

  • See Etiology. Chlorine gas has also been used repeatedly as a chemical weapon. [3] The respiratory and mucous membrane irritant effects of chlorine have been well known for many years.[emedicine.medscape.com]
  • However, to the best of our knowledge, sodium hypochlorite has never been implicated as an etiology of AKI, making this report unique.[sjkdt.org]

Epidemiology

  • In two publications (Lamireau et al. 2002, Marchi et al. 2004), clinical and epidemiological features of toxic exposures observed in 14 Italian hospitals during 2001 in children under 1 year old were reported.[copublications.greenfacts.org]
  • Epidemiology In the United States, chlorine is the most common inhalational irritant.[emedicine.medscape.com]
Sex distribution
Age distribution

Pathophysiology

  • [6] The Organization for the Prohibition of Chemical Weapons (OPCW) has confirmed that since 2013, chlorine gas has been the agent used in numberous chemical attacks in Syria affecting thousands of civilians and resulting in hundreds of deaths. [3] Pathophysiology[emedicine.medscape.com]

Prevention

  • Each year, about 76 million people in the United States become ill from the food they eat, and about 5,000 of them die, the Centers for Disease Control and Prevention reports.[nytimes.com]
  • 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 person will be admitted to a hospital.[salud.wikiplus.org]

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