A 17 years old female patient came to emergency one & half hour after severe H2SO4 poisoning with features of hypotension, restlessness, next step is
Ans. is 'd' i.e Antidote should be given Treatment plan of Sulphuric acid poisoning include:Avoid gastric lavage or emeticsStomach tubes are contraindicated.Alkaline carbonates & bicarbonates, which liberate C02 should not be used as they may cause gastric distention & rupture.Neutralization of the acid by milk of magnesia can be used, lime water, soap & water can also be used later dilute demulcent drinks, such as barley water milk, the gruel or beaten eggs may be given.Sabiston (16th edition p 718) writes that Corticosteroids are of questionable value in the treatment of acid ingestion because they mask evidence of peritonitis and may also increase the potential for gastric ulceration & bleeding, in contrast, patients, with signs of dyspnoea, hoarseness or stridor may benefit from immediate administration of corticosteroids and antibiotics to relieve airway obstruction due to mucosal edema and bronchospasm.