Find a Doctor Employment at WakeMed Events & Education For Physicians For Employees Contact Us

Health Care Encyclopedia

Health Information Encyclopedia - Poison


Sodium phosphate poisoning

Definition:

This poisoning is from an overdose of sodium phosphate.



Alternative Names: Trisodium phosphate; Sodium orthophosphate; Trisodium orthophosphate

Poisonous Ingredient:

Sodium phosphate



Where Found:
  • Some automatic dishwashing soaps
  • Some toilet bowl cleaners
  • Many industrial solvents and cleaners (hundreds to thousands of construction agents, flooring strippers, brick cleaners, cements, and many others)
  • Over-the-counter enemas
  • Food additive E339
Note: This list may not be all inclusive.

Symptoms:
  • Respiratory
    • Breathing difficulty (from inhalation)
    • Coughing
    • Throat swelling (which may also cause breathing difficulty)
  • Eyes, ears, nose, and throat
    • Severe pain in the throat
    • Severe pain or burning in the nose, eyes, ears, lips, or tongue
    • Loss of vision
  • Gastrointestinal
    • Severe abdominal pain
    • Vomiting
    • Burns of the esophagus (food pipe) and stomach
    • Vomiting blood
    • Blood in the stool
    • Diarrhea
  • Heart and blood vessels
    • Hypotension (low blood pressure) develops rapidly
    • Collapse
  • Skin
    • Irritation
    • Hives�
    • Burn
    • Necrosis (holes) in the skin or underlying tissues
  • Blood
    • Severe change in pH (too much or too little acid in the blood, which leads to damage in all of the body organs)


Home Treatment:

DO NOT make a person throw up.

If the chemical is on the skin or in the eyes, flush with lots of water for at least 15 minutes.

If the chemical was swallowed, immediately give the person�water or milk. DO NOT give water or milk if the patient is vomiting or has a decreased level of alertness.

If the person breathed in the poison, immediately move him or her to fresh air.



Before Calling Emergency:

Determine the following information:

  • The patient's age, weight, and condition
  • The name of the product (ingredients and strengths, if known)
  • The time it was swallowed
  • The 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 U.S. 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.



What to expect at the emergency room:

Some or all of the following procedures may be performed:

  • For swallowed poison
    • Endoscopy -- the placement of a camera down the throat to see the extent of burns to the esophagus and the stomach
    • Give IV fluids
    • Admission to the hospital
    • Give an antidote
    • Treat the symptoms
  • For inhaled poisons
    • A breathing tube may need to be inserted
    • Oxygen
    • Admission to the hospital or to the intensive care unit
    • Bronchoscopy (inserting a camera down the throat into the airway to evaluate the extent of burns to the airway and lungs)
  • For skin exposure
    • Irrigation (washing of the skin), perhaps every few hours for several days
    • Skin debridement (surgical removal of burned skin)
    • Admission or transfer to a hospital that specializes in burn care


Expectations (prognosis):

How well a patient does depends on the strength of the chemical and how fast the poison was�diluted and neutralized. Extensive damage to the mouth, throat, eyes, lungs, esophagus, nose, and stomach are possible.

The ultimate 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, and death may occur as long as a month later.




Review Date: 3/2/2006
Reviewed By: Janeen R. Azare, PhD, MSPH, Department of Medicine, Memorial Sloan-KetteringCancer Center, New York, NY. Review provided by VeriMed Healthcare Network.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician 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. Copyright 2002 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

adam.com

Heart Center
Women's Pavilion & Birthplace
Children's Center
Center for Patient Safety
Emergency Services/Trauma
Rehab


To read our disclaimer, click here