Vomiting

Tartar emetic, as its name indicates, can be used medicinally to cause vomiting. For the preparation of tartar emetic intended for medicinal use, pure antimony trioxide, free (in particular) from traces of arsenic, must of course be employed. 

A small amount of acrolein may be fatal if swallowed. It produces bums of the mouth, throat, esophagus, and stomach. Signs and symptoms of poisoning may include severe pain in the mouth, throat, chest, and abdomen nausea vomiting, which may contain blood diarrhea weakness and dizziness and coUapse and coma (99). 

Full eye protection should be worn whenever handling acryhc monomers contact lenses must never be worn. Prolonged exposure to Hquid or vapor can result in permanent eye damage or blindness. Excessive exposure to vapors causes nose and throat irritation, headaches, nausea, vomiting, and dizziness or drowsiness (solvent narcosis). Overexposure may cause central nervous system depression. Both proper respiratory protection and good ventilation are necessary wherever the possibiHty of high vapor concentration arises. 

Swallowing acryhc monomers may produce severe irritation of the mouth, throat, esophagus, and stomach, and cause discomfort, vomiting, diarrhea, dizziness, and possible coUapse. 

Saponins dismpt red blood cells and may produce diarrhea and vomiting. They may also have a beneficial effect by complexing with cholesterol [57-88-5] and thus lowering semm cholesterol levels (24,25). In humans, intestinal microflora seem to either destroy saponins or inactivate them in small concentrations. 

This compound has antihistaminic activity and is usehil in the therapy of motion sickness. It may also be effective in the control of post-operative nausea and vomiting. It is classified as FDA Category B for Pregnancy, ie, no demonstrated risks shown in animal studies however, no controlled trials in pregnant women. Large doses may cause drowsiness and dry mouth owing to decreased secretion of saUva. 

Dronabinol is indicated for the treatment of the nausea and vomiting produced by cancer chemotherapy in patients who have failed to respond adequately to other conventional treatments. This agent may be habit forming and can be expected to produce disturbing psychomimetic reactions. It should only be used under close supervision. 

Acute intoxication with DHBs occurs mainly by the oral route symptoms are close to those induced by phenol poisoning including nausea, vomiting, diarrhea, tachypnea, pulmonary edema, and CNS excitation with possibiUty of seizures followed by CNS depression. Convulsions are more frequent with catechol as well as hypotension due to peripheral vasoconstriction. Hypotension and hepatitis seem more frequent with hydroquinone and resorcinol. Methemoglobinemia and hepatic injury may be noted within a few days after intoxication by DHBs. 

Iodine can affect the body if inhaled, if it comes in contact with the eyes or skin, or if it is swallowed. It may enter the body through the skin. Iodine vapor is a severe irritant of the eyes, respiratory tract, and to a lesser extent, to the skin. Swallowing iodine may cause burning in the mouth, vomiting, abdominal pain, and diarrhea. Short contact of iodine with the skin may produce a severe irritation of the skin and coloration similar to that obtained when tincture of iodine is appHed to a wound. Prolonged contact can be harmful and may cause bums. 

Methanol does not pose an undue toxicity hazard if handled in weU-ventilated areas, and is rated as a slight health hazard by the National Fire Protection Association (NFPA). The TLV is 200 ppm with a STEL of 250 ppm, and the limit which is immediately dangerous to Hfe and health is 25,000 ppm. Accidental ingestion is immediately treated by inducing vomiting, followed by adrninistration of sodium bicarbonate. Rinsing with water is effective in treating external exposure. 

Toxicology. The acute oral and dermal toxicity of naphthalene is low with LD q values for rats from 1780—2500 mg/kg orally (41) and greater than 2000 mg/kg dermally. The inhalation of naphthalene vapors may cause headache, nausea, confusion, and profuse perspiration, and if exposure is severe, vomiting, optic neuritis, and hematuria may occur (28). Chronic exposure studies conducted by the NTP ia mice for two years showed that naphthalene caused irritation to the nasal passages, but no other overt toxicity was noted. Rabbits that received 1—2 g/d of naphthalene either orally or hypodermically developed changes ia the lens of the eye after a few days, foUowed by definite opacity of the lens after several days (41). Rare cases of such corneal epithelium damage ia humans have been reported (28). Naphthalene can be irritating to the skin, and hypersensitivity does occur. 

Concentrations of nickel carbonyl as low as 30 ppm in air for 30 min may be lethal for humans. Individuals exposed to these high concentrations show immediate symptoms of dizziness, headache, shortness of breath, and vomiting. These early symptoms generally disappear in fresh air, but delayed symptoms may develop 12—36 h later. These latter symptoms include shortness of breath, cyanosis, chest pain, chills, and fever. In severe exposure cases. 

Phenol. Phenol monomer is highly toxic and absorption by the skin can cause severe blistering. Large quantities can cause paralysis of the central nervous system and death. Ingestion of minor amounts may damage kidneys, Hver, and pancreas. Inhalation can cause headaches, dizziness, vomiting, and heart failure. The threshold limit value (TLV) for phenol is 5 ppm. The health and environmental risks of phenol and alkylated phenols, such as cresols and butylphenols, have been reviewed (66). 

Concentrated monoethan olamine and monoisopropan olamine can cause severe local irritation or even bums to the mouth, throat, and digestive tract. If monoethan olamine and monoisopropan olamine are swallowed, large volumes of milk or water should be administered immediately. If diethanolamine, triethanolamine, diisopropanolamine, or triisopropanolamine are swallowed, vomiting should be induced after drinking two glasses of water. 

Morphine has certain undesirable side effects. Among these are respiratory depression, nausea, and vomiting, depression of the cough reflex, cardiovascular depression and hypotension, smooth muscle contraction (constipation), and histamine release (93). Morphine s onset of action, duration, and low therapeutic indices have prompted a search for a more effective opiate iv anesthetic. Extreme simplification of the complex morphine molecule has resulted in anilido —piperidines, the fentanyl class of extremely potent opiate iv anesthetics (118,119). 

---