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Poisoning

From Wikipedia, the free encyclopedia
For other uses, seePoisoning (disambiguation).
"Poisoned" redirects here. For the giFT software, seegiFT.
Not to be confused withtoxicity.
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Medical condition
Poisoning
A hazard symbol depicting a human skull in front of two bones crossing between one another.
Hazard Symbol (Pictogram) for Poisonning
SpecialtyToxicology
Visible symptoms of arsenic poisoning following exposure.

Poisoning is the harmful effect which occurs whentoxic substances are introduced into the body.[1] The term "poisoning" is a derivative ofpoison, a term describing any chemical substance that may harm or kill a living organism uponingestion.[2] Poisoning can be brought on by swallowing, inhaling, injecting or absorbing toxins through the skin.Toxicology is the practice and study of symptoms, mechanisms, diagnoses, and treatments correlated to poisoning.[3]

Levels of Exposure

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When a living organism is introduced to a poison, thesymptoms that follow successful contact develop inclose relation to the degree of exposure.[4]

Acute exposure

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Acute toxicity/poisoning consists of a living organism being harmfully exposed topoison once or more times during a brief period, with symptoms manifesting within 14 days since administration.[5]

Chronic exposure

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Chronic toxicity/poisoning involves a living organism being exposed to a toxin on multiple instances over an extended period of time, whereas the symptoms either develop gradually or after aprotracted latent period.[6] Chronic poisoning most commonly occurs following exposure to poisons thatbioaccumulate, or arebiomagnified, such asmercury,gadolinium, andlead.[7]

Methods

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Accidental poisoning

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Death rate from poisoning

In 2020, America's Poison Centers'NPDS (National Poison Data System) report determined that 76.9% of recorded toxin exposures were accidental, with the rest of the statistics either being deliberate or unexpected.[8] A large portion of these accidental incidents occurred due to mistakenly taking the incorrect medicine, or doubling one's dose by mistake.[8]

Industry and Warfare

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Arsenic trioxide is a white, crystalline powder that closely resembles sugar. The1858 Bradford sweets poisoning incident happened because it was mistaken for a sugar substitute ("daff").

Nerve gases aresynthetic substances used in industry orwarfare that are specifically engineered to bring harm to living organisms.[9] They mayparalyze a person in a matter of seconds or cease organ function, quickly resulting indeath. They're considered to be biologically derivedneurotoxins, which are a genre of toxic agents that act specifically against the nervous system. Inhaled or ingestedcyanide (orZyklon B) was used as a method ofexecution ingas chambers.[10] This method of poisoning instantly starved the body of energy byinhibiting theenzymes inmitochondria that produceATP.[11]Intravenous injection of an unnaturally high concentration ofpotassium chloride, such as in the execution of prisoners in parts of the United States, quickly stops theheart by eliminating thecell potential necessary formuscle contraction.[12]

Pesticide exposure

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Most biocides, includingpesticides, are created to act as poisons to target organisms. Although acute or less observable chronic poisoning can also occur in non-target organisms (secondary poisoning), including thehumans who apply the biocides and otherbeneficial organisms.[13] For example, the herbicide2,4-D imitates the action of a plant hormone, which makes its lethal toxicity specific to plants. Indeed, 2,4-D is not a poison, but is classified as harmful.[14]

Toxication

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Many substances regarded as poisons are toxic only indirectly throughtoxication. An example is "wood alcohol" ormethanol, which is not poisonous itself but is chemically converted to toxicformaldehyde andformic acid once it reaches theliver.[15] Manydrug molecules are made toxic in the liver, and the genetic variability of certain liverenzymes makes the toxicity of many compounds differ between people.

Precautionary measures

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Poisoning prevention poster from New Zealand

As mandated inGHS, various safety-orientatedgovernment agencies from around the globe have put into place the usage ofpictograms when labelling toxic substances.[16][17] Thehazard symbol which labels a substance as capable of poisoning depicts the imagery of ahuman skull in front of two bones crossing one another.[18]

GHS precautionary statements, which advise users to exercise caution or be aware of the substance's potentially dangerous features, are added to a legal toxins' labelling.[19] Toxic substances can also come with instructions on how to handle the product, what compounds to avoid mixing the product with, and how to treat a victim at risk of poisoning who has come in contact with the product.[20]

Variouspoison control centers are also available to assist in diagnosing, managing, and preventing possible incidents of poisoning.[21] Many are accessible throughphone calls orofficial websites.

Treatment

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Seeking medical attention is strongly advised if someone is thought to have been exposed to or consumed a poison, mainly from a nearby poison control centre.[22][23] It is advised to provide medical personnel with information regarding the poisoning, the patient's age, weight, and any other drugs they may be taking in addition to the symptoms of the illness. Try to determine what was ingested, the amount and how long since the person was exposed to it. If possible, have on hand the pill bottle, medication package or other suspect container.[24]

The treatment will depend on the substance to which the patient is exposed. Depending on the type of poisoning, some first aid measures may help. Treatments include activated charcoal, induction of vomiting and dilution or neutralizing of the poison.[25]

See also

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References

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  1. ^"Poisoning".medlineplus.gov. Retrieved2021-10-26.
  2. ^Cammack, Richard; Atwood, Teresa; Campbell, Peter; Parish, Howard; Smith, Anthony; Vella, Frank; Stirling, John, eds. (2006-01-01).Oxford Dictionary of Biochemistry and Molecular Biology (2 ed.). Oxford University Press.doi:10.1093/acref/9780198529170.001.0001.ISBN 978-0-19-852917-0.
  3. ^"Toxicology".National Institute of Environmental Health Sciences. Retrieved2022-12-05.
  4. ^Calabrese, E.J. (2014), "Dose–Response Relationship",Encyclopedia of Toxicology, Elsevier, pp. 224–226,doi:10.1016/b978-0-12-386454-3.00991-x,ISBN 978-0-12-386455-0
  5. ^Gold, Victor, ed. (2019).The IUPAC Compendium of Chemical Terminology: The Gold Book (4 ed.). Research Triangle Park, NC: International Union of Pure and Applied Chemistry (IUPAC).doi:10.1351/goldbook.at06800.
  6. ^Elhag, Ibtihag Yahya (2023), "Role of AI in ADME/Tox toward formulation optimization and delivery",A Handbook of Artificial Intelligence in Drug Delivery, Elsevier, pp. 301–345,doi:10.1016/b978-0-323-89925-3.00011-3,ISBN 978-0-323-89925-3
  7. ^Chojnacka, K.; Mikulewicz, M. (2014), "Bioaccumulation",Encyclopedia of Toxicology, Elsevier, pp. 456–460,doi:10.1016/b978-0-12-386454-3.01039-3,ISBN 978-0-12-386455-0
  8. ^abGummin, David D.; Mowry, James B.; Beuhler, Michael C.; Spyker, Daniel A.; Bronstein, Alvin C.; Rivers, Laura J.; Pham, Nathaniel P. T.; Weber, Julie (2021-12-02)."2020 Annual Report of the American Association of Poison Control Centers' National Poison Data System (NPDS): 38th Annual Report".Clinical Toxicology.59 (12):1282–1501.doi:10.1080/15563650.2021.1989785.ISSN 1556-3650.PMID 34890263.
  9. ^Patton, James."Gas in The Great War".www.kumc.edu. Mail Stop 1025 3901 Rainbow Blvd. Kansas City, KS 66160: History and Philosophy of Medicine. Retrieved2024-04-15.{{cite web}}: CS1 maint: location (link)
  10. ^Stewart, Ken."Zyklon-B | Description, Manufacturer, & Facts | Britannica".www.britannica.com. Retrieved2024-04-15.
  11. ^Jethava, Durga; Gupta, Priyamvada; Kothari, Sandeep; Rijhwani, Puneet; Kumar, Ankit (2014)."Acute cyanide Intoxication: A rare case of survival".Indian Journal of Anaesthesia.58 (3):312–314.doi:10.4103/0019-5049.135045.ISSN 0019-5049.PMC 4090999.PMID 25024476.
  12. ^Simon, Gábor (2023-04-04)."Detection of Fatal Potassium Overdose: A Case Report and Review of the Literature".Diagnostics.13 (7): 1339.doi:10.3390/diagnostics13071339.ISSN 2075-4418.PMC 10093193.PMID 37046560.
  13. ^Kapeleka, Jones A.; Sauli, Elingarami; Ndakidemi, Patrick A. (2021-10-03)."Pesticide exposure and genotoxic effects as measured by DNA damage and human monitoring biomarkers".International Journal of Environmental Health Research.31 (7):805–822.Bibcode:2021IJEHR..31..805K.doi:10.1080/09603123.2019.1690132.ISSN 0960-3123.PMID 31736325.
  14. ^Carvalho, Laíse M.; Soares-Filho, Antônio F.; Lima, Maciel S.; Cruz-Filho, João F.; Dantas, Taisa C. M.; Luz, Geraldo E. (February 2021)."2,4-Dichlorophenoxyacetic acid (2,4-D) photodegradation on WO3-TiO2-SBA-15 nanostructured composite".Environmental Science and Pollution Research.28 (7):7774–7785.Bibcode:2021ESPR...28.7774C.doi:10.1007/s11356-020-11085-4.ISSN 0944-1344.PMID 33037546.
  15. ^Jones, A W (2021). "Clinical and forensic toxicology of methanol".Forensic Sci Rev.33 (2).Central Police University:117–143.PMID 34247144.
  16. ^Boelhouwer, Eric; Davis, Jerry; Franco-Watkins, Ana; Dorris, Nathan; Lungu, Claudiu (September 2013). "Comprehension of hazard communication: Effects of pictograms on safety data sheets and labels".Journal of Safety Research.46:145–155.doi:10.1016/j.jsr.2013.06.001.ISSN 0022-4375.PMID 23932696.
  17. ^"Globally Harmonized System of Classification and Labelling of Chemicals".www.canada.ca. 2023-03-21. Retrieved2024-04-15.
  18. ^"Know Your Hazard Symbols (Pictograms)".Office of Environmental Health and Safety. Retrieved2024-04-15.
  19. ^Vereinte Nationen, ed. (2007).Globally harmonized system of classification and labelling of chemicals: GHS (2nd revised ed.). New York: United Nations.ISBN 978-92-1-116957-7.
  20. ^Vereinte Nationen, ed. (2011).Globally harmonized system of classification and labelling of chemicals: GHS. United Nations (4th revised ed.). New York: United Nations.ISBN 978-92-1-117042-9.
  21. ^"Poison control center - PAHO/WHO | Pan American Health Organization".www.paho.org. 2021-01-14. Retrieved2024-04-15.
  22. ^"Poisoning Prevention | Child Safety and Injury Prevention| CDC Injury Center".www.cdc.gov. 2020-07-02. Retrieved2020-11-28.
  23. ^Yadav, Sharad; Shah, Gautam Kumar; Verma, Dharmesh; Yadav, Prakash Chand (2022-07-22)."Study of profile, pattern and outcomes of oral poisoning cases admitted in emergency department of Janakpur provincial hospital, Nepal".doi:10.5281/zenodo.6879818.{{cite journal}}:Cite journal requires|journal= (help)
  24. ^"Poisoning: First aid - Mayo Clinic".www.mayoclinic.org. Retrieved2021-10-26.
  25. ^Avau, Bert; Borra, Vere; Vanhove, Anne-Catherine; Vandekerckhove, Philippe; De Paepe, Peter; De Buck, Emmy (December 2018)."First aid interventions by laypeople for acute oral poisoning".The Cochrane Database of Systematic Reviews.12 (12) CD013230.doi:10.1002/14651858.CD013230.ISSN 1469-493X.PMC 6438817.PMID 30565220.

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1Silver is generally non-toxic metal, but in large doses it can lead toargyria, which is rare.
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