Laundry detergent pod ingestion: Difference between revisions
Neil.m.young (talk | contribs) (Created page with "==Background== *Pods contain significantly more concentrated detergent than standard liquid detergents *Size and colorful packaging makes pods a risk for pediatric ingestion...") |
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*Vomiting - 66% | *Vomiting - 66% | ||
*Respiratory complaints - 16% | *Respiratory complaints - 16% | ||
* | *altered mental status - 9% | ||
*Eye irritation - 8% | *Eye irritation - 8% | ||
*Skin irritation - 0.5% | *Skin irritation - 0.5% | ||
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==Disposition== | ==Disposition== | ||
*Monitor in ED in conjunction with Poison Control recommendations | *Monitor in ED in conjunction with Poison Control recommendations | ||
*Consider admission if respiratory compromise, | *Consider admission if respiratory compromise, altered mental status, or GI complaints resistant to symptomatic treatment | ||
==See Also== | ==See Also== | ||
Revision as of 02:30, 31 July 2016
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]:
- No effects - 24%
- Vomiting - 66%
- Respiratory complaints - 16%
- altered mental status - 9%
- Eye irritation - 8%
- Skin irritation - 0.5%
Differential Diagnosis
Differential Diagnosis for Specific Signs
Hyperthermia
- Altered Metabolism
- Aspirin (Salicylate) Toxicity
- withdrawal states
- thyroid hormones
- dinitrophenols
- Increased Muscle Activity
- withdrawal, sympathomimetics
- MAOI Toxicity
- PCP, LSD
- Lithium
- Amoxapine
- Serotonin Syndrome
- Impaired Heat Dissipation
- anticholinergics
- antihistamines
- antipsychotics (TCAs)
- Malignant Hyperthermia
- anesthestics
- Neuroleptic Malignant Syndrome
- phenothiazines, Lithium, LevoDopa
Hypothermia
- Exposure
- Ethanol Toxicity
- Sedative hypnotics
- Opioids
- TCAs
- Phenothiazines
- Insulin (Hypoglycemia)
Increased Respiratory Rate
- Direct Stimulation
- Aspirin (Salicylate) Toxicity
- Metabolic Acidosis
- dintirophenol, pentachlorophenol
- hepatorenal failure
- CNS stimulants (cocaine, amphet, theophylline)
- Tissue Hypoxia
Respiratory Depression
- Central Depression
- antipsychotics
- Chlorinated hydrocarbons
- Sedative/Hypnotics (Ethanol Toxicity, glycols)
- Tricyclic (TCA) Toxicity
- Lomitil
- Muscle Failure
- Organophosphates
- Marine Toxins
- Nicotine
- strychnine
- botulinis
- Mojave rattlesnake, Cobra
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
- ↑ 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.