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Rat Poisoning in Humans: RLE Guidelines

This document discusses rat poisoning in humans from a group of nursing students. It defines poisoning as anything that harms the human body chemically and notes signs and symptoms can include changes in heart rate, breathing rate, and blood pressure. Rat poison contains zinc phosphide which releases phosphine gas harmful to humans' respiratory system. The causes section notes several toxic chemicals and substances that can cause poisoning. Exams and tests include history, physical assessment, toxicology tests, and ECG. Treatments discussed are syrup of ipecac to induce vomiting, activated charcoal to absorb toxins, and gastric lavage/flushing of the stomach. Nursing responsibilities are to monitor vitals, check airway, watch for fluid/electro

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Chaim Herrera
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46 views3 pages

Rat Poisoning in Humans: RLE Guidelines

This document discusses rat poisoning in humans from a group of nursing students. It defines poisoning as anything that harms the human body chemically and notes signs and symptoms can include changes in heart rate, breathing rate, and blood pressure. Rat poison contains zinc phosphide which releases phosphine gas harmful to humans' respiratory system. The causes section notes several toxic chemicals and substances that can cause poisoning. Exams and tests include history, physical assessment, toxicology tests, and ECG. Treatments discussed are syrup of ipecac to induce vomiting, activated charcoal to absorb toxins, and gastric lavage/flushing of the stomach. Nursing responsibilities are to monitor vitals, check airway, watch for fluid/electro

Uploaded by

Chaim Herrera
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd

Requirements for RLE Area: BDH-OPD/ER

Disease Study: Poisoning (Rat poisoning in Humans)

Submitted by: Herrera, Christian Chaim D.C. Guelas, Paula Monique Gonzales, Laureen Lapus, Cristan Maniego, Jemellee BSN III-C Group 8

Submitted to: Mrs. Lydia Gonzales, RN, MSN

Date Submitted: April 13, 2012

DEFINITION:

Poisoning/Poison anything that kills, injures, harms the human body through its chemical actions/effect. This involves highly toxic substance/ chemicals not meant for human ingestion

SIGNS AND SYMPTOMS: **present on our client.


Some poisons causes o Pupil dilation or constriction o Excessive drooling or **dry mouth o Increase HR or decrease HR o **Restless or sedated o Bradypneic or tachypneic o Hypotension or hypertension

CAUSES:
Food Drug Industrial Chemicals o Petroleum Products (Gasoline, kerosene) o Pesticides and Rodenticides (RAT POISON) Rat poison Contains ZINC PHOSPHIDE that has an effect on the rodents GIT, releasing phosphine gas. PHOSPHINE GAS, in humans, targets its respiratory tract and function. Which in turn makes a person dyspneic, and experience chest tightness EFFECTS ON HUMAN: o GI nausea and vomiting, hematemesis o Bleeding Vit.K o Dizziness,Lethargy direct result of blood thining o Respiratory Distress o Death

EXAMS & TESTS:


History taking o Includes medications/drug/chemical being ingested, o Psychiatric history or emotional incapacities to suggest an intentional ingestion (suicidal tendencies) Physical Assessment Toxicology Blood Tests ECG some has an effect on the electroconductivity of the heart

TREATMENT / MANAGEMENT:
-depending on the specific type of ingested poison. 1. Syrup of Ipecac GI irritant that Induces vomiting of ingested toxin CAUTION: not to be given: i. If the ingested subs is acidic/corrosive/petroleum products ii. To patients having seizure, convulsions or is unconscious (ASPIRATION)
Requirements for RLE Area: BDH-OPD/ER Disease Study: Poisoning (Rat poisoning in Humans)

BSN III-C Group 8

2. Activated Charcoal Can be swallowed or via NGT Used to absorb the toxins in the stomach preventing its spread. It is secreted through feces. **if BOTH Ipecac and Activated Charcoal is being recommended, Give first the Ipecac After 30mins or until vomiting stops, then give Activated Charcoal 3. Gastric Lavage / Stomach Flushing done by the doctor via NGT Purposes: i. Controlling GI Bleeding ii. Cleanse the stomach Precaution i. Remove dentures or anything that may obstruct the airway Risks/Possible Complications: i. Aspiration Pneumonia ii. GI Bleeding iii. Hypoxia iv. Mechanical Injury v. Laryngospasm Caution/Contraindications: i. Not to be done: 1. If the ingested subs is acidic/corrosive/petroleum products 2. To patients having seizure, convulsions or is unconscious Procedure: i. NGT insertion ii. Instil saline/water via asepto syringe iii. Flush, and re-instil fluid until clear.

NURSING RESPONSIBILITIES:
Assess vital signs (hypotension/hypertension) Assess risk for aspiration Check and Maintain airway patency Check for fluid & electrolyte imbalances Supportive measures: If the patient is agitated/hallucinating SEDATE If respiratory compromised - VENTILATE

Requirements for RLE Area: BDH-OPD/ER Disease Study: Poisoning (Rat poisoning in Humans)

BSN III-C Group 8

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