Naphthalene: Difference between revisions
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==Background== | ==Background== | ||
*Common ingredients in toilet bowl deodorizers and moth repellants | *Common ingredients in toilet bowl deodorizers and moth repellants (i.e. mothballs) | ||
==Mechanism of toxicity== | ===Mechanism of toxicity=== | ||
GI upset | *GI upset | ||
CNS stimulation | *CNS stimulation | ||
Hemolysis (especially in G6PD deficiency) | *Hemolysis (especially in [[G6PD deficiency]]) | ||
==Clinical Features== | ==Clinical Features== | ||
Nausea and vomiting | *[[Nausea and vomiting]] | ||
Inhalational exposure can cause eye, nose, and throat irritation | *Inhalational exposure can cause eye, nose, and throat irritation | ||
==Differential Diagnosis== | |||
==Evaluation== | ==Evaluation== | ||
Clinical history | *Clinical history | ||
Mothball smell around mouth | *Mothball smell around mouth | ||
Naphthalene is radiopaque | *Naphthalene is radiopaque | ||
Serum levels are not available | *Serum levels are not available | ||
==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 | ||
==Disposition== | |||
==References== | ==References== | ||
*Olson, K. Poisoning and Drug Overdose, 1999 | *Olson, K. Poisoning and Drug Overdose, 1999 | ||
[[Category:Toxicology]] | |||
Latest revision as of 04:08, 10 April 2017
Background
- Common ingredients in toilet bowl deodorizers and moth repellants (i.e. mothballs)
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
Differential Diagnosis
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
Disposition
References
- Olson, K. Poisoning and Drug Overdose, 1999