10. POISONING

Written and reviewed by Dr. Saint Paul | Pharm.D Graduate from JNTUK | Pharmacy Educator and D.Pharmacy Academic Content Creator

POISONING AND POISON INFORMATION CENTRES

Definition of Poisoning:

  • Harmful effects caused by toxic substances entering the body
  • Can occur through ingestion, inhalation, or absorption
  • Effect depends on dose and exposure time

Types of Poisoning

Ingested Poisoning:

  • Causes: Household chemicals, pesticides, drug overdose, spoiled food
  • Symptoms: Nausea, vomiting, diarrhea, dizziness
  • Treatment: Activated charcoal, antidotes, supportive care

Inhaled Poisoning:

  • Symptoms: Headache, weakness, confusion, breathing difficulty
  • Treatment: Oxygen therapy, hyperbaric oxygen

Food Poisoning:

  • Cause: Contaminated food
  • Symptoms: Vomiting, diarrhea, fever
  • Treatment: Fluids, antibiotics if needed

Injected Poisoning:

  • Sources: Insect stings, snake bites
  • Treatment: Antihistamines, anti-snake venom

Insecticide Poisoning:

  • Agents: DDT, organophosphates
  • Symptoms: Convulsions, breathing difficulty
  • Treatment: Atropine, pralidoxime

Heavy Metal Poisoning:

  • Metals: Lead, mercury, arsenic
  • Symptoms: Neurological effects, organ damage
  • Treatment: Chelation therapy (EDTA, dimercaprol)

Narcotic Poisoning:

  • Examples: Opium, cocaine
  • Symptoms: CNS depression, coma
  • Treatment: Naloxone, supportive care

General Treatment of Poisoning

  1. Remove unabsorbed poison: Gastric lavage, washing, fresh air
  2. Remove absorbed poison: Diuretics, dialysis
  3. Use antidotes: Neutralize poison

Common Antidotes:

  • Acetylcysteine → Paracetamol poisoning
  • Atropine → Organophosphorus poisoning
  • Naloxone → Opioid poisoning
  • EDTA → Lead poisoning
  • Dimercaprol → Arsenic, mercury

Universal Antidote:

  • Activated charcoal
  • Tannic acid
  • Magnesium oxide

Used in general poisoning cases.

Drug Information Centre (DIC)

  • Provides drug-related information
  • Promotes rational drug use
  • Supports clinical decisions

Resources of DIC:

  • Primary: Research journals
  • Secondary: Databases (PubMed, Embase)
  • Tertiary: Textbooks, drug references

Poison Information Centre (PIC)

  • Provides guidance for poisoning cases
  • Reduces mortality and improves treatment
  • Educates public and healthcare professionals

Functions of PIC:

  • Provide poison information
  • Assist in treatment
  • Conduct toxicology analysis
  • Public awareness programs
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