Shellac

Definition:

Shellac contains methanol, which can cause fatal damage to the kidneys, as well as blindness. It also causes a disturbance in blood pH which can lead to multiple system failure and death.



Poisonous Ingredient:
  • methanol


Where Found:
  • paint remover
  • shellac

Note: This list may not be all inclusive.

Symptoms:


Home Treatment:
Seek emergency medical care immediately. DO NOT INDUCE VOMITING. Dilute by drinking water.

Before Calling Emergency:
Determine the following information:
  • the patient's age, weight, and condition
  • the name of the product (ingredients and strengths if known)
  • the time it was swallowed
  • the amount swallowed


Poison Control, or a local emergency number:
See Poison Control centers for telephone numbers and addresses. Bring the poison container with you to the emergency room.

What to expect at the emergency room:

Some or all of the following procedures may be performed:

  • For swallowed poison
    • Immediate hemodialysis may be required for survival
    • Placement of a tube down the nose and into the stomach (a nasogastric tube, or an NG tube) to wash out the stomach
    • Activated charcoal administration
    • Endoscopy -- the placement of a camera down the throat to see the extent of burns to the esophagus and the stomach.
    • Give IV fluids
    • Admission to the hospital
    • Give an antidote
    • Treat the symptoms
  • For inhaled poisons
    • A breathing tube may need to be inserted
    • Oxygen
    • Admission to the hospital or to the intensive care unit
    • Bronchoscopy (inserting a camera down the throat into the airway to evaluate the extent of burns to the airway and lungs)
  • For skin exposure
    • Irrigation (washing of the skin), perhaps every few hours for several days
    • Skin debridement (surgical removal of burned skin)
    • Admission or transfer to a hospital that specializes in burn care


Expectations (prognosis):
Methanol is extremely toxic. As little as 2 TABLEspoons can be fatal to a child, while 2 to 8 oz. can be fatal for adults. The ultimate outcome for the patient depends on how much was swallowed and how soon appropriate care was given.



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