Nursing Poisoning Emergencies

Poisoning Emergencies

Poisoning

A poison is any substance that can harm t or even death when introduced into the body.

Ways of entry of poisonous substance:

1. Ingestion.

2. Inhalation.

3. Absorbed.

4. Injection.

Ingested Poisons

Signs & Symptoms:

1. Nausea, vomiting, diarrhea.

2. Altered mental status.

3. Abdominal pain.

4. Chemical burns around the mouth.

5. Unusual breath odors.

6. Dilated pupils.

7. Rapid or slow pulse.

 

Emergency Care:

1. Maintain an open airway.

2. Perform a focused history and physical exam, include

SAMPLE history. Use gloved hands to carefully remove any pills, tablets, or fragments from the patient’s mouth.

3. Assess baseline vital signs.

4. Dilute poison by water or milk according to medical direction.

5. Transport the patient with all containers, bottles, and labels from the substances.

6. Perform ongoing assessment en route.

 

Inhaled Poisons

Signs & Symptoms:

1. Difficulty breathing.

2. Chest pain.

3. Cough, hoarseness.

4. Headache.

5. Cyanosis.

6. Confusion, seizures

7. Altered mental status, unconsciousness.

 

Emergency Care:

1. Remove the patient to a safe area. Detect and treat immediately life-threatening problems in the initial assessment. Evaluate the need for prompt transport for critical patients.

2. Perform a focused history and physical exam , including SAMPLE history and vital signs.

3. Administer high concentration oxygen.

4. Transport the patient with all containers, bottles, and labels from the substance.

5. Perform ongoing assessment en route.

 

Absorbed Poisons

Signs & Symptoms:

1. Liquid or powder on patient’s skin.

2. Skin burns or itching.

3. Skin irritation and redness.

 

Emergency Care:

1. Detect and treat immediately life-threatening problems in the initial assessment. Evaluate the need for prompt transport for critical patients.

2. Perform a focused history and physical exam , including SAMPLE history and vital signs. This includes removing contaminated clothing while protecting oneself from contamination.

3. Remove the poison by doing one of the following:

a. Powder: brush off patient.

b. Liquids: irrigate with clean water for at least 20 minutes as needed.

c. Eyes: irrigate with clean water for at least 20 minutes as needed.

4. Transport the patient with all containers, bottles, and labels from the substance.

5. Perform ongoing assessment en route.

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