Treatment FAQ

appropriate treatment for a patient whose skin has been contaminated with sodium

by Adriel Koch Published 2 years ago Updated 2 years ago

Basic Decontamination
Victims who are able may assist with their own decontamination. Rescuers should wear protective clothing and gloves while treating patients whose skin is contaminated with sodium hydroxide. Immediately brush any solid material from clothes, skin, or hair while protecting the victim's eyes.

What should I do if I have sodium hydroxide on my Skin?

Those discharged should be advised to seek medical care promptly if symptoms develop (see Patient Information Sheet below). Patients who have sodium hydroxide solid or solution on their skin or clothing can secondarily contaminate hospital personnel by direct contact.

What should I do if I am exposed to sodium hypochlorite?

First Aid tips for Sodium Hypochlorite Poisoning: Call 911 or your local emergency help number, for emergency assistance Call the Poison Control Center at 1-800-222-1222 (or your local poison control center) for further instructions

How do you decontaminate a patient with copious amounts of water?

Decontaminating a patient with copious amounts of water: A) should not include the eyes, as this often causes further injury. B) should involve the use of a brush to maximize decontamination. C) decreases the dose effect of the hazardous material on the patient.

When is hospitalization indicated in the treatment of sodium hydroxide toxicity?

Patients with symptoms of severe burns or perforation may require renal function tests and blood typing. Consider hospitalizing patients who have ingested sodium hydroxide or who have eye or serious skin burns or histories of significant inhalation exposure. Patients with signs of perforation may require emergency surgery.

What is the correct response if you ingest chemicals?

In the event of a chemical ingestion, the best course of action is to call your local Poison Control Centre or a doctor and follow their advice. They will ask you specific questions, such as the name of the product swallowed, the amount swallowed and the condition of the person who swallowed the chemical.

What to do if sodium hydroxide gets on skin?

If you have got sodium hydroxide on your skin, remove soiled clothing (not over the head), wash the affected area with lukewarm water and soap for at least 10 – 15 minutes and seek medical advice.

Is sodium hydroxide corrosive to skin?

EFFECTS ON HUMANS Humans can be exposed during the manufacture of sodium hydroxide and in the handling of sodium hydroxide as a solid or concentrated solution. Sodium hydroxide is corrosive to all body tissues; concentrated vapors cause serious damage to the eyes and respiratory system.

How do you treat chemical skin damage?

The treatment for most chemical burns is to remove the chemical from the skin by flushing the area with plenty of water. But some chemicals can't be removed with water. They may need to be removed from the skin in other ways by the doctor. The doctor has checked your skin carefully, but problems can develop later.

How do you clean with sodium hydroxide?

Sodium hydroxide is frequently used as an industrial cleaning agent where it is often called "caustic". It is added to water, heated, and then used to clean process equipment, storage tanks, etc. It can dissolve grease, oils, fats and protein based deposits.

What first aid should be used if NaOH is spilled on the skin?

Skin Contact brush off excess chemical and wash gently with large amounts water for at least 30 minutes. Seek medical attention immediately.

Is sodium hydroxide safe in skin care?

In high concentrations, sodium hydroxide can cause chemical burns, hives, and holes in the skin. But it's used in small amounts in skin care products to avoid this effect. Is it safe in skin care? Sodium hydroxide is generally considered safe in skin care because of the small amounts used.

How corrosive is sodium hydroxide?

Health Effects Sodium hydroxide is strongly irritating and corrosive. It can cause severe burns and permanent damage to any tissue that it comes in contact with. Sodium hydroxide can cause hydrolysis of proteins, and hence can cause burns in the eyes which may lead to permanent eye damage.

What is the first aid for sodium hypochlorite?

First aid for Sodium Hypochlorite Poisoning is administered by healthcare professionals. The individual who is affected, or someone near, should call 911 for emergency assistance (or the local emergency number) They should also call the poison control center at 1-800-222-1222 (or the local poison control center) and follow instructions.

What is sodium hypochlorite poisoning?

Sodium Hypochlorite Poisoning is the accidental or intentional intake (swallowing, breathing-in, or skin contact) of any product containing the compound. The condition is diagnosed based upon the clinical history, combination of signs and symptoms, and additional tests (that may include, in some cases, radiological studies and laboratory tests) ...

What is the name of the liquid that forms a major constituent of many bleaching agents?

First Aid for Sodium Hypochlorite Poisoning. Sodium hypochlorite is a greenish-yellow liquid that forms a major constituent of many bleaching agents (especially laundry bleach). Sodium Hypochlorite Poisoning is the accidental or intentional intake (swallowing, breathing-in, or skin contact) of any product containing the compound.

What is the best phone number to call for poison control?

Call 911 (or your local emergency number) for emergency assistance, if symptoms are life-threatening. Call Poison Control Center at 1-800-222-1222 (or the local poison control center) and follow the recommend steps. It would be helpful if the following information is readily available:

What to do if you have difficulty swallowing?

Otherwise, following an ingestion of the substance, immediately give milk or water to drink. In case of symptoms that indicate difficulty in swallowing including vomiting or decreased alertness, do not give anything by way of mouth. Take individual to emergency room (ER) for further treatment.

How to treat burns on skin?

Surgical treatment for skin burns including removal of burnt skin. Administer fluids by an intravenous drip line.

What happens if you spill a compound into your eye?

Skin irritation and burns (blister formation) Eye irritation, burning sensation, redness and pain, if the compound spills into one’s eye. Irregular heartbeat and decrease in blood pressure (hypotension) Stomach pain. Shock.

What to do if a coworker is decontaminated?

You should: A) administer oxygen via nasal cannula, take his blood pressure, and offer him cold water to drink.

What happens when a hazardous materials technician brings you one of his coworkers?

According to the technician, his coworker was appropriately decontaminated in the warm zone.

Why should a nurse prescribe acyclovir?

Rationale: The nurse should anticipate a prescription for acyclovir, an antiviral medication, because it inhibits replication of the virus that causes herpes zoster. A nurse is providing teaching to a client who is wheelchair-bound and his caregiver about ways to reduce the risk of pressure ulcer formation.

Why use a shower table for hydrotherapy?

Rationale: The special shower table facilitates examination and debridement of the wound during hydrotherapy. An advantage of using the showering technique as opposed to a tub bath is that the water can be kept at a constant temperature and there is a lower risk of wound infection.

What is a nurse caring for?

A nurse is caring for a client who has a lesion on the back of his right hand. The client asks the nurse which type of skin cancer is the most serious. Which of the following responses by the nurse is appropriate?

What is the most lethal type of skin cancer?

Melanomas. Rationale: Melanomas are malignant neoplasms with atypical melanocytes in both the epidermis, the dermis, and sometimes the subcutaneous cells. It is the most lethal type of skin cancer, often causes metastases in the bone, liver, lungs, spleen, the CNS, and lymph nodes. Click again to see term 👆.

What is a lesion with blue tones?

Irregularly shaped lesion with blue tones. Rationale: Malignant melanomas are irregularly shaped and can be blue, red, or white in tone. They often occur on the client's upper back and lower legs. A nurse is evaluation the laboratory values of a client who is in the resuscitation phase following a major burn.

How to bathe a patient?

Form the washcloth into a mitt and use soap and water. Use a loosely held washcloth and warm water. Form the washcloth into a mitt and use plain warm water. Use a loosely held washcloth and soap and water. Form the washcloth into a mitt and use plain warm water. The health care team member is preparing to bathe a patient.

Where to put a cap on a patient?

Place the cap only over the crown of the head, allowing longer hair to hang outside of the cap. Place a waterproof pad under the patient's shoulders, neck, and head. Untangle the patient's hair with a wide-toothed comb before applying the cap, beginning at the roots of each hair section.

How often should you use sterile gloves for perineal care?

Use sterile gloves when providing perineal care. Allow the patient to perform perineal care once a day. Allow the patient to perform perineal care once a day. An older adult female patient has been admitted with urosepsis.

How to get blood out of hair?

Shampoo twice in a row to remove all the blood. Rinse the hair thoroughly with warm water before shampooing. Use a comb before shampooing to remove dried blood from the hair. Place a small amount of hydrogen peroxide in the rinse water to assist in blood removal.

Description

  • At room temperature, anhydrous sodium hydroxide is a white crystalline, odorless solid that absorbs moisture from the air. It is produced as flakes, pellets, sticks, and cakes. When dissolved in water or neutralized with acid, it liberates substantial heat, which may be sufficient to ignite combustible materials. Sodium hydroxide is caustic …
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Routes of Exposure

  • Inhalation of sodium hydroxide dust, mist, or aerosol may cause irritation of the mucous membranes of the nose, throat, and respiratory tract. Sodium hydroxide is odorless; thus, odor provides no warning of hazardous concentrations. Mucous membrane irritation occurs at the OSHA PEL (2 mg/m3) and is generally an adequate warning property for acute exposure to sodium hydroxide. However, workers exposed to prolonged or recurrent …
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Sources/Uses

  • Sodium hydroxide is produced by the electrolysis of aqueous solutions of sodium chloride (brine) or by reacting naturally occurring sodium carbonate with calcium hydroxide. Sodium hydroxide is used to manufacture soaps, rayon, paper, explosives, dyestuffs, and petroleum products. It is also used in processing cotton fabric, laundering and bleaching, metal cleaning and processing, electroplating, oxide coating, and electrolytic extracting. It is com…
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Standards and Guidelines

  • OSHA PEL (permissible exposure limit) = 2 mg/m3(averaged over an 8-hour workshift) NIOSH IDLH (immediately dangerous to life or health) = 10 mg/m3 AIHA ERPG-2 (emergency response planning guideline) (maximum airborne concentration below which it is believed that nearly all individuals could be exposed for up to 1 hour without experiencing or developing irreversible or other serious health effects or symptoms which could impair a…
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Incompatibilities

  • Sodium hydroxide dissolves easily in water generating a great deal of heat. It reacts with acids (also generating a lot of heat); halogenated organic compounds; metals such as aluminum, tin, and zinc; and nitromethane. Sodium hydroxide is corrosive to most metals.
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Health Effects

  1. Sodium hydroxide is strongly irritating and corrosive. It can cause severe burns and permanent damage to any tissue that it comes in contact with. Sodium hydroxide can cause hydrolysis of proteins,...
  2. Inhaled sodium hydroxide can cause swelling of the larynx and an accumulation of fluid in the lungs.
  3. Stridor, vomiting, drooling, and abdominal pain are early symptoms of sodium hydroxide ingestion. Ingestion may lead to perforation of the gastrointestinal tract and shock.
  1. Sodium hydroxide is strongly irritating and corrosive. It can cause severe burns and permanent damage to any tissue that it comes in contact with. Sodium hydroxide can cause hydrolysis of proteins,...
  2. Inhaled sodium hydroxide can cause swelling of the larynx and an accumulation of fluid in the lungs.
  3. Stridor, vomiting, drooling, and abdominal pain are early symptoms of sodium hydroxide ingestion. Ingestion may lead to perforation of the gastrointestinal tract and shock.
  4. Sodium hydroxide does not produce systemic toxicity; its health effects are due to its corrosive nature.

Acute Exposure

  • Sodium hydroxide is strongly irritating and corrosive. It can cause severe burns and permanent damage to any tissue that it comes in contact with. The extent of damage to the gastrointestinal tract may not be clear until several hours after ingestion. Inhaled sodium hydroxide can cause swelling of the larynx and an accumulation of fluid in the lungs. Contact with 25-50% solutions produces immediate irritation, while after contact with solution…
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Chronic Exposure

  • Chronic exposure to dusts or mists of sodium hydroxide may lead to ulceration of the nasal passages. Chronic skin exposures can lead to dermatitis. Ingestion may lead to perforation of the gastrointestinal tract or stricture formation. Chronic exposure may be more serious for children because of their potential longer latency period.
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Reproductive and Developmental Effects

  • Sodium hydroxide dissociates within the body and would not reach the reproductive organs in an unchanged state. No data were located concerning reproductive endpoints in humans exposed to sodium hydroxide. Sodium hydroxide is not teratogenic in rats. Sodium hydroxide is not included in Reproductive and Developmental Toxicants, a 1991 report published by the U.S. General Accounting Office (GAO) that lists 30 chemicals of conce…
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