Detergents

Definition

This poisoning is from an ingestion of a cationic or anionic detergent, or a corrosive alkali.

Poisonous Ingredient

• Simple soap
  
• Corrosive alkalis
  

Where Found

• Many different detergents and soaps
  

Symptoms

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

Home Treatment
IMMEDIATE CARE IS NECESSARY. Give milk or water if possible. Do not induce emesis.

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
  

Poison Control, or a local emergency number
They will instruct you if it is necessary to take the patient to the hospital. See Poison Control centers for telephone numbers and addresses. Take the container with you to the emergency room.

What to expect at the emergency room

Some or all of the following procedures may be performed:

• For swallowed poisono Placement of a tube down the nose and into the stomach (a nasogastric tube, or an NG tube) to wash out the stomacho Activated charcoal administrationo Endoscopy - the placement of a camera down the throat to see the extent of burns to the esophagus and the stomacho Give IV fluidso Admission to the hospitalo Give an antidoteo Treat the symptoms