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Definition:

Detergents are powerful cleaning products that may contain strong acids, alkalis, or phosphates. Cationic detergents are often used as germ-killing cleansers (antiseptics) in hospitals. Anionic detergents are sometimes used to clean carpeting. Detergent poisoning occurs when someone swallows cationic or anionic detergents.

This is for information only and not for use in the treatment or management of an actual poison exposure. If you have an exposure, you should call your local emergency number (such as 911) or the National Poison Control Center at 1-800-222-1222.



Poisonous Ingredient:
  • Damaging (corrosive) acids, including benzalkonium chloride
  • Simple soap


Where Found:
  • Many different detergents and soaps


Symptoms:
  • Blood
    • Severe change in acid level of blood (pH balance), which leads to damage in all of the body organs
  • Eyes, ears, nose, and throat
    • Loss of vision
    • Severe pain in the throat
    • Severe pain or burning in the nose, eyes, ears, lips, or tongue
  • Gastrointestinal
  • Heart and blood
  • Lungs and airways
    • Breathing difficulty (from breathing in the detergent)
    • Throat swelling (may also cause breathing difficulty)
  • Skin
    • Burns
    • Holes (necrosis) in the skin or tissues underneath
    • Irritation


Home Treatment:

Seek immediate medical help. Do NOT make a person throw up unless told to do so by Poison Control or a health care professional.

If the chemical was swallowed, immediately give the person water or milk, unless instructed otherwise by a health care provider. Do NOT give water or milk if the patient is having symptoms (such as vomiting, convulsions, or a decreased level of alertness) that make it hard to swallow.



Before Calling Emergency:

Determine the following information:

  • Patient's age, weight, and condition
  • Name of the product (ingredients and strengths, if known)
  • Time it was swallowed
  • Amount swallowed


Poison Control, or a local emergency number:

The National Poison Control Center (1-800-222-1222) can be called from anywhere in the United States. This national hotline number will let you talk to experts in poisoning. They will give you further instructions.

This is a free and confidential service. All local poison control centers in the United States use this national number. You should call if you have any questions about poisoning or poison prevention. It does NOT need to be an emergency. You can call for any reason, 24 hours a day, 7 days a week.

See: Poison control center - emergency number



What to expect at the emergency room:

The health care provider will measure and monitor your vital signs, including temperature, pulse, breathing rate, and blood pressure. Symptoms will be treated as appropriate. You may receive:

  • Breathing tube
  • Bronchoscopy -- camera down the throat to see burns in the airways and lungs
  • Endoscopy -- camera down the throat to see burns in the esophagus and the stomach
  • Fluids by IV
  • Medicines to treat pain
  • Oxygen
  • Surgical removal of burned skin (skin debridement)
  • Washing of the skin (irrigation) -- perhaps every few hours for several days


Expectations (prognosis):

How well you do depends on the amount of poison swallowed and how quickly treatment is received. The faster you get medical help, the better the chance for recovery.

Swallowing such poisons can have severe effects on many parts of the body. The outcome depends on the extent of this damage. Damage continues to occur to the esophagus and stomach for several weeks after the poison was swallowed.




Review Date: 2/12/2009
Reviewed By: A.D.A.M. Editorial Team: David Zieve, MD, MHA, Greg Juhn, MTPW, David R. Eltz. Previously reviewed by Stephen C. Acosta, MD, Department of Emergency Medicine, Portland VA Medical Center, Portland, OR. Review provided by VeriMed Healthcare Network (2/27/2008).

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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Wentworth-Douglass Hospital
789 Central Avenue, Dover, NH 03820
Phone: (603) 742-5252
Toll free: 1 (877) 201-7100