Fluoride is a fluorine ion or a fluorine atom that is missing an electron. It also refers to any compound that contains a fluoride. The fluoride that is added to a water supply to prevent tooth decay is usually hexafluorosilicic acid or sodium hexafluorosilicate. Fluoride can be poisonous, and you should know the signs of poisoning and treat it.
Instructions
ois
1. Identify the symptoms of . These primarily consist of gastrointestinal difficulties, but may include a range of cardiovascular problems and neurologic effects. Electrolyte abnormalities are also common with fluoride poisoning.
2. Administer a substance that will slow the absorption of fluoride in the event of accidental ingestion. This is usually calcium carbonate, milk or milk of magnesia.
3. Treat eye and skin contact. Exposure to highly concentrated fluoride salts should be handled by washing with water and removing contaminated clothing.
4. Perform small-bore nasogastric tube aspiration in the emergency room. Severe fluoride poisoning requires within one hour, if possible, because of the potential toxicity of fluoride-containing compounds.
5. Follow gastric aspiration with lavage. Some clinicians recommend a solution of 1 to 5 percent calcium and a lavage of calcium, milk of magnesia or milk also may be beneficial. Correct any remaining calcium deficiencies with an intravenous solution of calcium chloride.
6. Provide activated charcoal. While this is not effective in absorbing fluorides, it should still be administered in cases of intentional ingestion because of the possibility of an overdose of other substances.
7. Follow up cases of intentional fluoride ingestion with a psychiatric consultation.
Tags: fluoride poisoning, cases intentional, gastric aspiration, milk magnesia