Poisoning
Chapter 23. Emergency Conditions

Each year, millions of cases of accidental poisoning occur. Most of them are in children aged 1 to 6.

Poisoning most often occurs from swallowing harmful substances, such as strong lyes, like drain cleaners.

The kitchen between 4 p.m. and 6 p.m. is the time and place when most accidental poisonings occur. The bathroom is the next most likely site.

The most common potential poisons include:
Medicines such as aspirin, tranquilizers, sleeping pills
Household cleaners such as bleach, dishwasher detergent, floor and furniture polishes and waxes, drain cleaners
Ammonia, lye
Insecticides and rat poison
Vitamins
Alcoholic beverages
Rubbing alcohol, iodine, hair dye, mouthwash, mothballs
Some indoor plants
Some outdoor plants and berries
Gasoline, antifreeze, oil, and other chemicals for the car
Lighter fluid
Paint thinner

Some substances are toxic when they are inhaled or absorbed through the skin. Examples are:
Airplane glue
Gasoline
Auto exhaust
Formaldehyde and other chemicals

Prevention
To prevent poisoning:
Keep all harmful substances out of the reach of children. Better yet, keep them locked up.
Buy and put childproof latches on cabinet doors.
Do not store hazardous materials or medications in food containers. It's best to keep these items in their original containers, out of reach and out of sight.
Place plants where children cannot pull off a leaf or berry for tasting.
Store all medications and vitamins in containers with child-resistant tops. Even vitamins with iron can be deadly to a small child.
Read warning labels on pesticides, household cleaners, and other potentially poisonous products so you know what to do in the event of an accidental poisoning. Some label instructions may be outdated, so always call the Poison Control Center when poisoning occurs.
Flush unused medications down the toilet and rinse the containers before throwing them away.
Buy a 1-ounce bottle of syrup of ipecac and replace it with a new one each year. Syrup of ipecac is used to induce vomiting after certain poisons have been swallowed.
Also, keep activated charcoal on hand. This may be necessary to give when certain chemicals are swallowed.
Teach your child never to touch anything with a skull-and-crossbones on it. This is the standard symbol for poison.
Never call medications or vitamins "candy" in front of a child.
Wear protective clothing, masks, etc., when using chemicals that could cause harm if inhaled or absorbed by the skin.
Only use volatile substances such as gasoline and wood stain in areas that are well ventilated. Product labels tell you if ventilation is needed.
Post the phone number of your local poison control center next to the phone. And keep the numbers of the closest hospital emergency room, your doctor and ambulance service near the phone as well. Find out what these numbers are now.

If and when you need to call the Poison Control Center, your doctor, or nearby hospital, be ready to give this information:
The name of the substance taken
The amount
When it was taken
A list of ingredients on the product label
Information about the person who took the poison:
His or her age, gender, and weight
How he or she is feeling and reacting
Any medical problems he or she has

Questions to Ask

Is the person not breathing and has no pulse?
{Note: Do CPR. (See CPR.)}
Is the person not breathing, but has a pulse?
{Note: Do rescue breathing. (See Airway and Breathing.)}
Is the person unconscious or having convulsions?
{Note: See Unconsciousness; First Aid for Seizures with Convulsions under "Seizures".}
Has any substance been swallowed, inhaled, or absorbed by the skin that:
Has a "Harmful or fatal if swallowed" warning on the label?
Has a skull-and-crossbones sign on the container?
You suspect is poisonous
{Note: Call the Poison Control Center first.}

Self-Care Tips

See items under Prevention above to prevent poisoning.

HEALTH AT HOME - Your Complete Guide to Symptoms, Solutions, and Self-Care © 1999 by Don R. Powell. American Institute for Preventive Medicine. 

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Date updated 02/01/99