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A big part of figuring out what type of poisoning has occurred is connecting the signs and symptoms to each other, and to additional available information.
A combination of history, physical examination, and laboratory studies will help reveal the cause of most poisonings. Frequently, treatment must begin before all information is available.
Poisons include highly toxic chemicals not meant for human ingestion or contact, such as cyanide, paint thinners, or household cleaning products.
A person can be poisoned and not show symptoms for hours, days, or months. Cases of poisoning with a prolonged onset of symptoms are particularly dangerous because there may be a dangerous delay in obtaining medical attention.
If you or someone you know has swallowed or breathed a poison and you or they have signs or symptoms, such as nausea, vomiting, pain, trouble breathing, seizure, confusion, or abnormal skin color, you must call either an ambulance or the U.S. National Poison Control Center at 1-800-222-1222 for guidance. This number is routed to the poison control center that serves your area.
Poison is anything that kills or injures through its chemical actions. Most poisons are swallowed (ingested). The word poison comes from the Latin word - potare - meaning to drink. But poisons can also enter the body in other ways:
General supportive measures: When there are no specific treatments, the physician will treat signs and symptoms as needed.
Call the U.S. National Poison Control Center at 1-800-222-1222 if you have questions about possible poisoning. You can also go directly to your hospital's emergency department.
Certain poisons cause what toxicologists call toxidromes - a contraction of the words toxic and syndrome. Toxidromes consist of groups of signs and symptoms found together with a given type of poisoning.
If you or someone you know has swallowed or breathed in a poison, and you or they have serious signs or symptoms (nausea, vomiting, pain, trouble breathing, seizure, confusion, or abnormal skin color), you must either call an ambulance for transport to a hospital emergency department or call a poison control center for guidance. The National Poison Control Center phone number in the U.S. is 1-800-222-1222.
Antidotes: Some poisons have specific antidotes. Antidotes either prevent the poison from working or reverse the effects of the poison.
Poisoning can occur from a variety of factors like medications, illicit drugs, foods, and attempts to harm ones life. Poisoning is a medical emergency and cannot be treated at home. If think you or someone you know shows the symptoms of poisoning as described previously, seek medical care immediately.
The key to a good outcome is rapid recognition that a poisoning has occurred and rapid transport to a qualified medical facility when indicated.
Testing: Many poisons can be detected in the blood or urine. However, a physician cannot order "every test in the book" when the diagnosis is unclear. The tests ordered will be based on information revealed in the history and physical exam.
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History: As a family member or friend of a poisoned person, you can greatly assist the doctor and provide valuable clues by telling the doctor about these details:
If the person has no symptoms but has taken a potentially dangerous poison, you should also call a poison control center or go to the nearest emergency department for an evaluation.