Poisoning antidotes for

Soda Poisons, Antidotes for.. 5901 Soda, Potussio-turtruto of— 4213... 

Other Uses. Other appHcations for sodium nitrite include the syntheses of saccharin [81-07-2] (see Sweeteners), synthetic caffeine [58-08-2] (22), fluoroaromatics (23), and other pharmaceuticals (qv), pesticides (qv), and organic substances as an inhibitor of polymerization (24) in the production of foam blowing agents (25) in removing H2S from natural gas (26) in textile dyeing (see Textiles) as an analytical reagent and as an antidote for cyanide poisoning (see Cyanides). 

Because of its extreme insolubiUty, barium sulfate is not toxic the usual antidote for poisonous barium compounds is to convert them to barium sulfate by administering sodium or magnesium sulfate. In medicine, barium sulfate is widely used as an x-ray contrast medium (see Imaging TECHNOLOGY X-RAY technology). It is also used in photographic papers, filler for plastics, and in concrete as a radiation shield. Commercially, barium sulfate is sold both as natural barite ore and as a precipitated product. Blanc fixe is also used in making white sidewall mbber tires or in other mbber appHcations. 

In most situations, adequate, usuaHy forced, ventilation is necessary to prevent excessive exposure. Persons who drink alcohol excessively or have Hver, kidney, or heart diseases should be excluded from any exposure to carbon tetrachloride. AH individuals regularly exposed to carbon tetrachloride should receive periodic examinations by a physician acquainted with the occupational hazard involved. These examinations should include special attention to the kidneys and the Hver. There is no known specific antidote for carbon tetrachloride poisoning. Treatment is symptomatic and supportive. Alcohol, oHs, fats, and epinephrine should not be given to any person who has been exposed to carbon tetrachloride. FoHowing exposure, the individual should be kept under observation long enough to permit the physician to determine whether Hver or kidney injury has occurred. Artificial dialysis may be necessary in cases of severe renal faHure. 

Sodium nitrite (NaNOg) is used by emergency medical personnel as an antidote for cyanide poisoning (for this purpose, it must be administered immediately). Based on the discussion of cyanide poisoning in Section 21.10, suggest a mechanism for the life-saving effect of sodium nitrite. 

This chapter is concerned therefore with studies of the mechanism of action of palytoxin, how it produces its lethal effects, as well as attempts to develop an antidote for this form of poisoning. 

There is no proven antidote for hydrogen sulfide poisoning. Treatment consists of supportive measures such as evaluating and supporting airway, breathing, and circulation (ATSDR 1994). Sodium nitrite may or may not be an effective antidote, but if proper precautions in administration are observed, intravenous administration of sodium nitrite may help some hydrogen sulfide poisoned persons (Hall 1996 Hall and Rumack 1997). Hyperbaric oxygen therapy is controversial, but it may be effective for patients not treated successfully by other measures (ATSDR 1994). 

For cyanide and cyanogen, antidote should be administered as soon as possible. The Lilly Cyanide Antidote Kit contains amyl nitrite, sodium nitrite, and sodium thiosulfate. Cobalt edentate or 4-dimethylaminophenol are alternative antidotes for cyanide poisoning. Benzodiazepines or barbiturates may be required to control severe seizures. 

Complexes of beryllium with 1,2-dihydroxybenzene (catechol) and its more soluble sulfonate derivatives (188, 198, 251-256) have been investigated with particular reference to their possible use as antidotes for beryllium poisoning. 

There is no antidote for arsine poisoning, but its effects can be treated. The doctor may give the exposed patient fluids through a vein to protect the kidneys from damage. For severe poisoning, blood transfusions and cleansing of the blood (hemodialysis) maybe needed. 

Phosgene poisoning may cause respiratory and cardiovascular failure which results in low plasma volume, increased hemoglobin concentration, low blood pressure, and an accumulation of fluid in the lungs. There is no antidote for phosgene, and treatment consists of support of respiratory and cardiovascular functions. 

There is no antidote for nitrogen mustard toxicity, and decontamination of potentially exposed persons must be done within minutes to avoid tissue damage. Victims should be moved out of the hot zone, administered oxygen and/or assisted ventilation, and seek medical attention at once. The nitrogen mustards are delayed chemical agents, and may delay for up to twenty-four hours to show symptoms. They are poisons, and contact with vapor or liquids can be fatal. Do not eat, drink, or smoke during response to a nitrogen mustard incident or criminal event. 

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