A 17 years old female patient came to emergency one & half hour after severe H2SO4 poisoning with features of hypotension, restlessness, next step is
Ans. is 'd' i.e Antidote should be given Treatment plan of Sulphuric acid poisoning include:Avoid gastric lavage or emeticsStomach tubes are contraindicated.Alkaline carbonates & bicarbonates, which liberate C02 should not be used as they may cause gastric distention & rupture.Neutralization of the acid by milk of magnesia can be used, lime water, soap & water can also be used later dilute demulcent drinks, such as barley water milk, the gruel or beaten eggs may be given.Sabiston (16th edition p 718) writes that Corticosteroids are of questionable value in the treatment of acid ingestion because they mask evidence of peritonitis and may also increase the potential for gastric ulceration & bleeding, in contrast, patients, with signs of dyspnoea, hoarseness or stridor may benefit from immediate administration of corticosteroids and antibiotics to relieve airway obstruction due to mucosal edema and bronchospasm.
Ryle's tube intubation
LV fluid sedation, monitoring
Gastric lavage
Antidote should be given
Forensic Toxicology - Concepts, Statutes, Evidence, and Techniques