Naphthalene: Difference between revisions
| Line 18: | Line 18: | ||
==Management== | ==Management== | ||
Support airway and breathing | *Support airway and breathing | ||
Treat coma and seizures as needed | *Treat coma and seizures as needed | ||
Treat hemolysis with IV hydration and alkalinization of urine | *Treat hemolysis with IV hydration and alkalinization of urine | ||
Gut emptying and activated charcoal are usually not indicated | *Gut emptying and activated charcoal are usually not indicated | ||
==References== | ==References== | ||
*Olson, K. Poisoning and Drug Overdose, 1999 | *Olson, K. Poisoning and Drug Overdose, 1999 | ||
Revision as of 21:48, 3 April 2017
Background
- Common ingredients in toilet bowl deodorizers and moth repellants
Mechanism of toxicity
- GI upset
- CNS stimulation
- Hemolysis (especially in G6PD deficiency)
Clinical Features
- Nausea and vomiting
- Inhalational exposure can cause eye, nose, and throat irritation
Evaluation
- Clinical history
- Mothball smell around mouth
- Naphthalene is radiopaque
- Serum levels are not available
Management
- Support airway and breathing
- Treat coma and seizures as needed
- Treat hemolysis with IV hydration and alkalinization of urine
- Gut emptying and activated charcoal are usually not indicated
References
- Olson, K. Poisoning and Drug Overdose, 1999