Laundry detergent pod ingestion

Background

  • Pods contain significantly more concentrated detergent than standard liquid detergents
  • Size and colorful packaging makes pods a risk for pediatric ingestion

Clinical Features

In a review of 202 cases[1][2]

  • No effects - 24%
  • Vomiting - 66%
  • Respiratory complaints - 16%
  • altered mental status - 9%
  • Eye irritation - 8%
  • Skin irritation - 0.5%
  • Fever - 0.6%

Differential Diagnosis

Hyperthermia

Hypothermia

Increased Respiratory Rate

Respiratory Depression

Evaluation

  • ABCs
  • Chem 7
  • Chest x-ray for respiratory complaints
  • Assess for coingestions if there is sufficient concern

Management

  • ABCs
    • Consider intubation for significant respiratory compromise
  • Decontamination/eye irrigation if external exposure
  • Ondansetron for nausea
  • Correct electrolyte abnomralities if present
  • Contact Poison Control

Disposition

  • Monitor in ED in conjunction with Poison Control recommendations
  • Consider admission if respiratory compromise, altered mental status, or GI complaints resistant to symptomatic treatment

See Also

External Links

References

  1. Beuhler MC, Gala PK, Wolfe HA, et al. Laundry detergent “pod” ingestions: a case series and discussion of recent literature. Pediatr Emerg Care. 2013; 29(6):743–747.
  2. Valdez, A et al. Pediatric Exposure to Laundry Detergent Pods. Pediatrics. 2014. http://media.kshb.com/pdf/Pediatric%20Exposure%20to%20Laundry%20Detergent%20Pods.pdf