Oxalic acid toxicity: Difference between revisions

m (Rossdonaldson1 moved page Oxalic acid to Oxalic acid toxicity)
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*Also found in some species of plants
*Also found in some species of plants


==Mechanism of Toxicity==
===Mechanism of Toxicity===
*Solution form:
*Solution form:
**Irritative and Corrosive
**Irritative and Corrosive
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**Local mucous membrane irritation
**Local mucous membrane irritation


==Toxic Dose==
===Toxic Dose===
*5-15 g can be lethal
*5-15 g can be lethal


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*Ingestion
*Ingestion
**Weakness, tetany, cardiac arrest
**Weakness, tetany, cardiac arrest
==Differential Diagnosis==


==Diagnosis==
==Diagnosis==
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*Decontamination
*Decontamination
*Calcium chloride or calcium gluconate to reverse hypocalcemia
*Calcium chloride or calcium gluconate to reverse hypocalcemia
==Disposition==


==References==
==References==

Revision as of 05:24, 17 May 2017

Background

  • Used in bleach and rust removers
  • Also found in some species of plants

Mechanism of Toxicity

  • Solution form:
    • Irritative and Corrosive
    • Causes hypocalcemia and formation of calcium oxalate crystals that can deposit in brain, heart, and kidneys.
  • Insoluble form:
    • Local mucous membrane irritation

Toxic Dose

  • 5-15 g can be lethal

Clinical Features

  • Direct contact with skin/eyes
    • Skin and eye irritation and burning
  • Inhalation
    • Sore throat, cough, wheezing, pulmonary edema
  • Ingestion
    • Weakness, tetany, cardiac arrest

Differential Diagnosis

Diagnosis

  • Clinical
  • No specific levels for oxalic acid

Management

  • Protect the airway
  • Decontamination
  • Calcium chloride or calcium gluconate to reverse hypocalcemia

Disposition

References

  • Olson, K. Poisoning and Drug Overdose, 1999.