Chapter 14 Poisons A poison is any substance that impairs health or causes death by its chemical action when it enters the body or comes in contact with the skin Ingested Poisons Ingested poisoning occurs when the victim swallows a toxic substance Recognizing Ingested Poisoning The signs of ingested poisoning include the following: Abdominal pain and cramping Nausea or vomiting Diarrhea Burns, odor, or stains around and in the mouth Drowsiness or unresponsiveness Poison container nearby Care for Ingested Poisons To care for victims who have ingested poisons: Determine the following: The age and size of the victim What was swallowed (read container label; save vomit for analysis) How much was swallowed (for example, a dozen tablets) When it was swallowed For a responsive victim call the poison control center at 1-800-222-1222 For an unresponsive victim, open the victim’s airway, check breathing, and treat accordingly. Call 9-1-1. Alcohol and Other Drug Emergencies Poisoning caused by an overdose or abuse of medications and other substances, including alcohol, is common. The most commonly abused drug in the United States is Alcohol Recognizing Alcohol Intoxication Helping an intoxicated person can be difficult because the person may be belligerent or combative. The victim’s condition may be quite serious, even life threatening. Signs indicate alcohol intoxication: The odor of alcohol on a person’s breath or clothing Unsteadiness, staggering Confusion Slurred speech Nausea and vomiting Flushed face Care for Alcohol Intoxication To care for alcohol intoxication: If victim is responsive: Monitor breathing Call poison control center for advice Look for injuries Place in recovery position (left side). If victim is unresponsive, open airway, check breathing, and treat accordingly. Call 9-1-1 Recognizing Drug Overdose Signs of a drug: Drowsiness, anxiety, agitation, or hyperactivity Change In pupil size Confusion Hallucinations Care for Drug Overdose Care for drug overdose is the same as that for alcohol intoxication. Inhaled Poisoning Carbon Monoxide (CO) poisoning victims are often unaware of the gas’s presence. The gas is invisible, tasteless, odorless, and nonirritating Recognizing Inhaled Poisoning Signs of inhaled poisoning: Headache Ringing in the ears Chest pain Muscle weakness Nausea and Vomiting Dizziness and visual changes (blurred or double vision) Unresponsiveness Care for Inhaled Poisoning To care for victims of carbon monoxide poisoning: Get the victim out of the toxic environment and into fresh air. Call 9-1-1. Monitor breathing Try to determine what substance was involved Chemical Safety at the Worksite Material Safety Data Sheet (MSDS) list the hazardous ingredients of products, as well as characteristics, effects on human health, and treatment for exposure Plant Poisoning About 50% of people exposed to poison ivy, poison oak, and poison sumac are allergic to the plant and will react to it. Recognizing Plant Poisoning An allergic reaction usually occurs 24 to 72 hours after contact The signs of plant poisoning include the following: Rash Itching Redness Blisters Swelling Care for Plant Poisoning To care for plant poisoning: People who know they have been in contact with a poisonous plant should wash the affected area with soap and cold water as soon as possible to remove oily resin or should be apply rubbing (isopropyl) alcohol liberally (not in swab-type dabs). For a mild reaction, have the victim soak in a lukewarm bath sprinkled with 1 to 2 cups of colloidal oatmeal or apply one of the following: o Calamine lotion ( calamine ointment if the skin becomes dry and cracked) o Baking soda paste: 1 teaspoon of water mixed with 3 teaspoons of baking soda o For a more severe reaction, care for the skin as you would for a mild reaction, a prescribed corticosteroid may be needed Chapter 14 Poisons A poison is any substance that impairs health or causes death by its chemical action when it enters the body or comes in contact with the skin Ingested Poisons Ingested poisoning occurs when ________________________________________________ Recognizing Ingested Poisoning The signs of ingested poisoning include the following: Abdominal pain and cramping ________________________________________________ Diarrhea Burns, odor, or stains around and in the mouth ________________________________________________ Poison container nearby Care for Ingested Poisons To care for victims who have ingested poisons: Determine the following: ________________________________________________ What was swallowed (read container label; save vomit for analysis) How much was swallowed (for example, a dozen tablets) ________________________________________________ For a responsive victim call the poison control center at 1-800-222-1222 For an unresponsive victim, open the victim’s airway, check breathing, and treat accordingly. Call 9-1-1. Alcohol and Other Drug Emergencies Poisoning caused by an overdose or abuse of medications and other substances, including alcohol, is common. The most commonly abused drug in the United States is Alcohol Recognizing Alcohol Intoxication Helping an intoxicated person can be difficult because the person may be belligerent or combative. The victim’s condition may be quite serious, even life threatening. Signs indicate alcohol intoxication: The odor of alcohol on a person’s breath or clothing ________________________________________________ Confusion ________________________________________________ Nausea and vomiting Flushed face Care for Alcohol Intoxication To care for alcohol intoxication: If victim is responsive: ________________________________________________ Call poison control center for advice ________________________________________________ Place in recovery position (left side). If victim is unresponsive, open airway, check breathing, and treat accordingly. Call 9-1-1 Recognizing Drug Overdose Signs of a drug: Drowsiness, anxiety, agitation, or hyperactivity ________________________________________________ ________________________________________________ Hallucinations Care for Drug Overdose Care for drug overdose is the same as that for alcohol intoxication. Inhaled Poisoning Carbon Monoxide (CO) poisoning victims are often unaware of the gas’s presence. The gas is invisible, tasteless, odorless, and nonirritating Recognizing Inhaled Poisoning Signs of inhaled poisoning: ________________________________________________ Ringing in the ears ________________________________________________ ________________________________________________ Nausea and Vomiting Dizziness and visual changes (blurred or double vision) Unresponsiveness Care for Inhaled Poisoning To care for victims of carbon monoxide poisoning: Get the victim out of the toxic environment and into fresh air. ________________________________________________ Monitor breathing Try to determine what substance was involved Chemical Safety at the Worksite Material Safety Data Sheet (MSDS) list the hazardous ingredients of products, as well as characteristics, effects on human health, and treatment for exposure Plant Poisoning About 50% of people exposed to poison ivy, poison oak, and poison sumac are allergic to the plant and will react to it. Recognizing Plant Poisoning An allergic reaction usually occurs 24 to 72 hours after contact The signs of plant poisoning include the following: ________________________________________________ Itching ________________________________________________ Blisters Swelling Care for Plant Poisoning To care for plant poisoning: People who know they have been in contact with a poisonous plant should wash the affected area with soap and cold water as soon as possible to remove oily resin or should be apply rubbing (isopropyl) alcohol liberally (not in swab-type dabs). For a mild reaction, have the victim soak in a lukewarm bath sprinkled with 1 to 2 cups of colloidal oatmeal or apply one of the following: o Calamine lotion ( calamine ointment if the skin becomes dry and cracked) o Baking soda paste: 1 teaspoon of water mixed with 3 teaspoons of baking soda o For a more severe reaction, care for the skin as you would for a mild reaction, a prescribed corticosteroid may be needed