Is it possible to inhale the vapors of vinegar. Help with acetic acid poisoning


Domestic chemical poisoning is not uncommon. This is due to ordinary human carelessness or inattention. But the consequences of such conditions can remain for many years. Vinegar poisoning occurs when it is accidentally or intentionally ingested. Most often this happens to people in a state of intoxication, who hope to quench their thirst. A sharp acidic smell from the substance taken with severe intoxication can simply not be heard.

Doctors often report apple cider vinegar poisoning in children. Unfortunately, kids think that a bottle with a sticker that shows apples should contain lemonade or any other sweet drink.

By negligence, anyone can get poisoned. However, one or two sips of a 6% or 9% acid solution will not lead to very serious consequences. Such a dose is quite enough for a sober person to understand the danger of drinking liquids. But even with such a small amount of a substance, timely first aid is important, and correct treatment in a hospital.

There are also suicide attempts with vinegar or 70 percent acetic acid. But the consequences of such an act are very sad: death can occur after a rather long period of time. From a few days to a year. During this entire period, the victim experiences terrible torment, and his desire to give up his life may be shaken in the first minutes when first aid or hospital treatment is provided.

The effect of acid on humans

The acid-base balance in the body must be stable. If it shifts in any direction (becomes more acidic or more alkaline), a person feels unwell, some failures occur in organs and systems. The balance can be restored with medication or dietary adjustments.

A person almost always receives small portions of acid with food. A small proportion of vinegar in marinades adds spice to them and allows them to preserve preservation for a certain period.

However, large doses of acid adversely affect a person. The skin and mucous membranes undergo severe burns, and since the digestive tract is designed for the speedy processing of food, the resulting acid is quickly absorbed into organs and systems, grossly disrupting their work.

Acid in the body: dangerous symptoms

When poisoning with vinegar, the symptoms unfold in just a matter of minutes. If first aid and adequate treatment are not provided within two hours, then a person may die from a painful shock or the consequences of acid digestion by the body.

The harmful effects of acid unfold in several directions at once. Vinegar poisoning, the symptoms of which are difficult to recognize for a person who did not see the picture taking place, proceeds quite rapidly.

Damage follows one after another as the dangerous fluid moves through the digestive tract:

  • Small blood vessels are destroyed.
  • The liquid that has entered the body disrupts the functioning of the liver, affecting its cells.
  • There are physiological changes in the blood, the amount of hemoglobin goes off scale, while red blood cells are destroyed at a tremendous speed.
  • The kidneys do not have time to process this amount of damaged blood cells. Renal failure occurs.
  • Possible blockage of blood vessels by products of blood decay.
  • The intestines are the least affected by acid entering the body, because help with vinegar poisoning, provided in time, will not allow the substance to move further. In the absence of the necessary medical actions, a person may die before the acid enters the intestines.

Ingested concentration

The action of an aggressive acidic environment is always the same: first of all, burns of the mucous membranes of the mouth and larynx occur, and after that - the esophagus and stomach. However, the symptoms of poisoning with vinegar and concentrated acid are slightly different.

Diluted substance

Few people know what to do in case of poisoning of such a plan. Most of the opinions agree that the first aid is to wash the stomach in an accessible way at home: drink plenty of water and put pressure on the root of the tongue.

But it is worth considering for a moment, is it possible to really help a person in this way? After all, this is how we force the aggressive substance to rise again through the esophagus and inflict additional burns on it. Therefore, whatever information there is about the importance of gastric lavage, it is important to remember that only a qualified specialist in a hospital should do this in case of chemical poisoning.

Small concentrations of acid are quickly eaten into the mucous membranes. Having reacted with gastric juice, the substance becomes more aggressive and causes burns of the stomach and nearby organs.


Having damaged the liver and the main hematopoietic cells, vinegar practically loses its aggressiveness. The kidneys must cope with the abundance of damaged blood cells.

concentrated acid

The most insidious in case of poisoning with a concentrated substance are its vapors. You can inhale them both by accident and in order to find out what kind of remedy is in an unsigned container. But if the acid has been swallowed, then the person continues to inhale burning vapors with each movement of the lungs.

This causes a strong cough, a person cannot breathe fresh air, driving the microparticles of the poison deeper into the lungs.

There are some positive aspects of getting concentrated acid into the body. If swallowed

it is the essence, then for some time it does not split in the stomach, but is enveloped by its walls due to its high concentration. With the timely assistance of doctors, they will be able to evacuate it with minimal losses to human organs and systems.

Actions in case of poisoning

It is very important to provide a person with medical assistance in time. The severity of the condition and the duration of the necessary treatment will depend on the speed of the reaction of others.

First aid

It is possible to reliably find out that swallowed vinegar is the cause of the unwell-being of an outsider by a sharp specific smell from the mouth. The very first action should be to call an ambulance.

Qualified actions of physicians

With the necessary tools, the first gastric lavage can be carried out by ambulance doctors at home. To do this, use a special wide probe, richly lubricated with vaseline oil.

Large doses of painkillers are administered intravenously, and in case of pain shock, narcotic substances are administered so that a person does not fall into a coma.

And with the maximum possible speed I transport the patient to the medical facility, to the intensive care unit.

Self help

It is quite difficult to provide the necessary assistance on your own - a person needs strong painkillers, and with the development of pain shock - narcotic drugs. Therefore, the algorithm of actions should be something like this:

  • Lay the victim on his side so that if vomiting occurs, he will not choke.
  • If a person is conscious, you can offer a drink consisting of egg whites and milk - such a liquid will slightly slow down the absorption of acid and protect the walls of the stomach.
  • Offer to dissolve or swallow ice cubes - this will stop the development of traumatic edema, which can completely block the larynx.

If a woman uses vinegar or its essence for cleaning, and in the course of her activity she inhaled vapors and became poisoned, it is urgent to go to a medical facility. Because damage to the airways can lead to post-traumatic pneumonia, the consequences of which can be unpredictable.

Treatment in a hospital

An injury received from swallowing 30-50 ml of acid (or 200 ml of vinegar) can be considered fatal - it equals 30% of skin burns.

The treatment of internal chemical burns is very long, at any stage signs of infection of the affected tissues may appear, which can lead to a bacterial infection and death.

If the gastric lavage was not carried out by the ambulance at home, then it will be carried out immediately upon arrival in the intensive care unit. With the help of potent substances, the person will be kept conscious or in an artificial sleep in order to prevent shock and subsequent coma.

Procedures for maintaining affected organs in a hospital

Since clots of destroyed cells appear in the blood, the kidneys cannot cope with their splitting, the victim is connected to hemodialysis. This procedure will be carried out at least several times.

Severe burns of the esophagus cause swelling of the esophagus, which can be so extensive that it blocks the airways. To avoid this complication, significant doses of hormonal drugs are administered.

Natural nutrition becomes impossible due to significant damage to the esophagus - food will be taken through the gastrostomy.

After a few days, the condition should stabilize, the insane pains subside, but well-being is only external. Mucous and damaged tissues will begin to scar, but any movement can lead to flaking of necrotic tissue and internal bleeding.

Household food poisoning is a common phenomenon. Every housewife has highly toxic additives on the kitchen shelf. One of these substances is vinegar essence. Despite the imaginary safety and environmental friendliness, this is a very dangerous substance. Acetic essence poisoning occupies one of the leading places in the ranking of food additive poisoning.

The main types and properties of vinegar

Acetic acid is a food preservative with a complex chemical molecular structure. There are the following varieties:

  1. Apple cider vinegar essence in a minimum concentration brings only help to the human body. Traditional medicine recommends drinking on an empty stomach a solution of a teaspoon of apple cider vinegar in a glass of clean cool water as an anti-inflammatory and antibacterial agent. Intoxication of the body begins with the use of 100 ml of pure 5% apple cider vinegar essence. Possible burns of the esophagus, gastric mucosa and damage to internal organs.
  2. Wine vinegar in small doses is an excellent prophylactic for diseases of the cardiovascular system. Widely used in Japanese cuisine. It has a bright tart aroma. An overdose dangerous to health occurs when taking more than 30 ml of 5% essence.
  3. Doctors forbid balsamic vinegar to be consumed even in tiny amounts by people with diseases of the gastrointestinal tract. Despite its bright taste properties, poisoning in case of an overdose occurs most quickly.
  4. Table vinegar is a 9% solution of acetic acid. This is the most dangerous solution, as it usually has an extremely high concentration of acid (from 15% and above). It should be carefully protected from children and not stored at all in a house where there are mentally unhealthy people. Often people who are prone to this kind of actions prefer to poison themselves with table vinegar. The lethal dose of such a solution, subject to an acid concentration of 10-15%, is 100-150 ml.

What is it used for in cooking?

Acetic acid is a colorless liquid with a pungent odor and astringent taste. Mixes up to a homogeneous consistence with many solvents. Inadvertent ingestion of the pure essence is difficult due to the strong odor of this acid and the severe irritant effect on the respiratory tract. Alas, poisoning with vinegar essence is one of the most common causes of household mortality.

Acetic essence is widely used in the preparation of dough products (along with baking soda - as a baking powder). Experienced housewives use it when kneading dough for pancakes, the base for homemade pizza, giving rice tart flavor notes, for soaking cold cuts before frying barbecue.

Possible causes of intoxication

Often a solution of vinegar is drunk by people in a state of extreme intoxication. It is they who are not able to feel the pungent smell and sour taste. It often happens that a drunk person wants to achieve even greater euphoria, and in search of funds, he decides on desperate deeds. Many uneducated people still believe that vinegar essence can increase the degree of an alcoholic drink. Of course, this opinion is completely wrong.

The second reason is the intake of vinegar in high dosages due to ignorance. This is typical for children and teenagers. For example, apple cider vinegar has a rather pleasant flavor (especially a 5% solution) and toddlers might think it's juice.

In some cases, poisoning with acetic essence vapors in culinary and technological industries is possible. This is a direct violation of the safety instructions.

Effects of vinegar on the body

On the shelves of supermarkets, the product is stored at a concentration of 5-10%. A lethal dose of 10% vinegar is about 200 ml (this amount varies depending on gender, weight and health). In production and in professional restaurants, essences with a concentration of up to 70% can be used - the dose of such a solution that is hazardous to health is even less - about 20-50 ml.

Do not try to use vinegar for medicinal purposes yourself. Even a relatively safe solution of apple cider vinegar in small quantities can lead to intoxication in people with chronic liver and thyroid diseases.

The first symptoms of vinegar poisoning

What you should pay attention to first of all (external manifestations of intoxication):

  • a person does not have enough air, he begins to breathe greedily;
  • the skin turns pale, and a bright red border forms around the lips;
  • fever, mild chills;
  • in some cases - severe nausea, vomiting;
  • profuse salivation.

Here are the medical signs of vinegar poisoning:

  • the composition of the blood changes: the destruction of red blood cells with the release of hemoglobin;
  • rapidly developing liver and kidney failure;
  • extensive burns of the esophagus and gastric mucosa;
  • unbearable pain of a burning nature in a patient (occurs when taking large doses of vinegar essence);
  • blood clotting disorder.

Ways to detect intoxication

An experienced doctor can easily make the right verdict in a matter of seconds. A sharp smell from the mouth, the characteristic appearance of the victim and complaints will not leave any doubt in the diagnosis. According to the ICD code, vinegar essence poisoning is marked T54.2.

In some cases, the time to save the victim goes to a matter of minutes. There is no time to do blood tests, urine tests and wait for the result. Therefore, it is important to be smart and not procrastinate. Acute poisoning with vinegar essence often ends in death.

Even an unprepared person, far from medicine, will not be difficult to guess the reason for the poor health or excruciating pain of the victim. To do this, it will be enough to bend over to his face - a vinegar smell will clearly come from his mouth.

Three degrees of complexity of acetic acid intoxication

Medicine distinguishes the following degrees according to the damage caused to the body:

  • a mild degree is characterized by a low degree of intoxication, superficial burns of the esophagus, slight chills, nausea;
  • with an average degree, the stomach is significantly damaged, blood thickens and may develop;
  • a severe degree often leads to death due to failure of the liver, gallbladder, and other organs of the gastrointestinal tract; this degree is characterized by severe burns of internal organs; the patient vomits profusely, he loses consciousness, experiences excruciating pain.

Providing first aid to the injured

Algorithm of actions if you suspect a person has poisoning with vinegar essence:

  1. Call an ambulance by phone.
  2. Rinse your mouth with clean cool water, try to rinse your throat. This should not be done if the patient is in agony and is in severe pain.
  3. Don't try to "quench" an acid reaction using baking soda (a common mistake).
  4. You can not give any pills before the arrival of doctors, it is forbidden to eat any kind of food.
  5. Perform a gastric lavage procedure at home (if the first aid provider has the necessary qualifications).

Help with poisoning with vinegar essence should first of all be guided by the rule "do no harm." Attempts to drink a patient with a solution of soda, vegetable oil and other means of "folk methods for neutralizing vinegar" can lead to even greater complications. If the ambulance takes a long time to get to the scene, it is best to describe the degree of intoxication by phone and follow the instructions of the doctors.

Basic Treatments

Treatment for poisoning with vinegar essence is to reduce the toxic effect of acid on internal organs.

First of all, it is a gastric lavage. Then honey. the worker will intravenously introduce special antidote substances that can neutralize the destructive effect of the poison.

Taking sodium bicarbonate to restore the acid-base balance is possible only under the supervision of experienced physicians, as it can cause an unexpected allergic reaction.

Further treatment is aimed at repairing damage after a toxic shock. This is the healing of internal burns, the restoration of the work of damaged organs and systems.

Preventive measures

The basic rule of prevention: do not store concentrated solutions of vinegar essence at home! There's no point even buying them. As a last resort, if there was no low concentrated solution on the store shelf, dilute the essence yourself with clean water. From this, she will not lose her properties.

Even after that, vinegar should not be stored in accessible places (especially if there are children or people with mental disabilities in the house who are not aware of their actions).

The bottle must be tightly stoppered to prevent accidental spillage and gradual evaporation.

The consequences of poisoning with vinegar essence

Each case is individual and depends on the age, sex and initial health of the patient. After receiving intoxication of a complex degree, the patient is threatened with lifelong disability. Even timely competent rehabilitation measures are not always able to radically change the situation.

Here are some common effects of poisoning:

  • acute renal failure;
  • burn of the esophagus and gastric mucosa;
  • mechanical asphyxia;
  • resection of part of the stomach and intestines.

First aid for poisoning with vinegar essence and a timely call for an ambulance can help save the patient's life. Gastric lavage upon receipt of first-degree intoxication is usually sufficient. If the damage to organ tissues has begun, then it will be very difficult to stop the process. Approximately 14% of all recorded cases of poisoning with vinegar essence end in death.

Acetic essence (acid, ethanoic acid) is a product obtained by fermenting wine. It is used in industry, in the chemical industry, in everyday life and in cooking. Vinegar is simply irreplaceable at home. It is necessary for marinating, baking, and even cleaning some surfaces and containers.

In the kitchen, housewives mainly use table vinegar - this is a 6 or 9 percent solution of ethanoic acid. But some sometimes choose 70-80% vinegar essence, from which the product of the desired concentration is subsequently made.

Poisoning

Acetic acid poisoning is not a very common occurrence, but it has serious negative consequences for the body. The use of even a small amount of it can lead to disability or death. Only 15 ml taken orally are considered fatal. The main reason for this is severe burns of the respiratory and digestive systems, mainly the stomach, due to the release of a large amount of toxic fumes.

Is it possible to get poisoned by vapors of acetic acid? Undoubtedly. But they do not cause much harm to the body, if you do not inhale concentrated essence vapors that cause a chemical burn of the upper respiratory organs.

Causes

The main cause of poisoning is negligence. Most often among the victims are inquisitive young children who cannot read and try to taste everything. Therefore, such products dangerous to health and life are recommended to be stored in places inaccessible to children.

Another category of people who use vinegar through negligence are lovers of alcoholic beverages, drunkards. Sometimes their desire to "take on the chest" is so strong that they do not even notice the characteristic smell and drink a clear liquid from a bottle without thinking about the possible consequences.

By chance, this can happen to any woman who runs her own kitchen. Often, the reason she got poisoned is not even the use of the product, but the inhalation of acid vapors when diluted to the desired concentration on her own, or the excessive use of vinegar when cleaning and cleaning.

Symptoms

Vinegar poisoning leads to the most deplorable consequences and causes the following symptoms:

  1. Specific smell.
  2. Strong pains.
  3. Vomiting with clots, blood.
  4. Diarrhea with bleeding.
  5. Acidosis.
  6. Hemolysis of erythrocytes.
  7. Thickening of the blood.
  8. Renal failure.
  9. Jaundice.
  10. Burn shock.
  11. Hemoglobinuria.
  12. The appearance of scars, ulcers.
  13. Deterioration of blood clotting.
  14. Liver damage.

Sometimes there is even poisoning with vinegar vapor. A pungent, unpleasant, pungent odor is usually characterized by the following symptoms:

  • cough;
  • runny nose;
  • lacrimation;
  • pain in the chest;
  • difficulty breathing;
  • development of tracheobronchitis, pulmonitis.

Severity

If you drink vinegar, a person must understand that he will have serious health problems. Depending on the amount and concentration of the product, poisoning can be divided into three degrees of severity:

  1. Mild - characterized by non-serious burns of the oral cavity and esophagus, minor damage to the stomach, without blood clotting, hemolysis and hemoglobinuria. Does not pose a health hazard.
  2. Medium, which has a more negative effect on the body. In addition to serious burns in the mouth, the stomach is severely affected, resorptive processes develop, blood thickens, urine color changes, acidosis, hemolysis, and hemoglobinuria are observed.
  3. Severe, in which a person develops severe acidosis, hemoglobinuria, hemolysis, blood thickens very much, unbearable pains in the chest and epigastrium appear, kidney failure, vomiting with blood begins. The upper respiratory tract, oral cavity, digestive tract were seriously burned. Often the victim dies.

Causes of death

Death from vinegar poisoning can occur for a number of reasons:

  • pain shock;
  • large fluid losses;
  • large blood loss due to vascular damage;
  • acidity disorder;
  • exposure to toxic fumes of the essence;
  • violation of the kidneys;
  • the formation of cell decay products in the vessels;
  • change in the structure and destruction of red blood cells;
  • malnutrition of vital organs.

Consequences of poisoning

Not necessarily, if you drink vinegar, death occurs. In most cases, oddly enough, people after such incidents remain alive. But their health and well-being is deteriorating significantly. And this happens in several painful and unpleasant stages:

  1. Acute - a period during which the victim experiences severe, unbearable pain in the oral cavity, larynx, esophagus. It lasts from 5 to 10 days. At this time, the patient has increased salivation, a violation of the swallowing reflex, often - vomiting, hoarseness. Due to acid vapors entering the respiratory tract, breathing difficulties, swelling and even pneumonia are possible.
  2. Condition improvement. This period lasts about a month and is characterized by a decrease in pain symptoms, restoration of the esophagus, and the absence of scars. However, in most cases, this is only an imaginary well-being, followed by the rejection of dead tissues, which entails piercing the esophagus and, accordingly, bleeding. In turn, an infection can get into the wounds, and cause suppuration.
  3. Narrowing of the esophagus. This process begins 2-4 months after the accidental or intentional use of acetic acid and occurs over a period of two to three years. During this period, the granulation tissue changes to dense connective tissue, which does not allow the esophagus to stretch or narrow. Cicatricial constrictions begin to form, accompanied by a violation of the swallowing function. It becomes more and more difficult for a person to eat food, pain sensations become stronger, more painful. In a place just above the constriction, food passes poorly, stagnates, which means it is not digested and begins to decompose over time. All this is accompanied by such unpleasant symptoms as bad breath, heartburn, belching, increased salivation, and sometimes even vomiting with food debris.
  4. Late complications - the period when the organs adjacent to the esophagus begin to suffer from rotting food - the trachea, lungs, pleura. Poor nutrition, inflammation lead to the fact that the victim loses weight. He may develop cancer. And the poor elasticity of the esophagus often leads to its rupture.

First aid

Competent, timely first aid, provided in case of poisoning with acetic acid, minimizes the negative consequences. The main thing in such a situation is to immediately call an ambulance team and try to relieve the pain.

Emergency aid for poisoning with vinegar essence consists in washing the stomach, cleansing the gastrointestinal tract through the use of a special probe. It is carried out only by an experienced specialist. After such a procedure, the victim is injected with narcotic or non-narcotic analgesics: analgin, promedol, and others, and he is hospitalized for further treatment.

Video: what happens if you drink vinegar?

Treatment

Hospitalization is a mandatory procedure that everyone who has had contact with vinegar essence undergoes. After a thorough and most detailed study of the patient's condition, the doctor prescribes treatment, which, as a rule, consists of the use of antibiotics and anti-inflammatory drugs.

Recovery of the body is slow and requires various activities:

  • The use of sodium bicarbonate in acidosis.
  • Conducting diuresis to alkalize the blood.
  • The use of antibacterial drugs to prevent infection.
  • Prescription of medications (stabilizol, refortam) to eliminate burn shock and spasm.
  • The use of hormonal drugs to prevent narrowing of the esophagus.
  • Introduction of intravenous glucose-novocaine mixture to reduce pain.
  • Transfusions of fresh frozen plasma if toxic coagulopathy is observed.
  • Appointments of glutargic acid in the detection of liver damage.
  • Parenteral nutrition is mandatory, especially with a severe burn condition.

Vinegar is a dangerous product that causes irreparable harm to the body. Always be careful when tasting and drinking bottled liquids that are in the kitchen to protect yourself from negative consequences. If you decide to commit suicide in this way, you must understand that this will be a very painful process, you will die in agony and not immediately.

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Acetic acid: its benefits and possible harm

Vinegar is in the kitchen in every home. In everyday life, it is used as a seasoning for the preparation of various dishes - marinades, canned food, pickles, sauces. In addition to its culinary purpose, it is used as a cleaning agent (household chemicals) and as a traditional medicine to combat high temperatures. Given the wide range of applications of the product, the question arises, is vinegar harmful to the human body?

When table vinegar is harmful

High or low levels of stomach acid make a difference. A person with an acidic stomach environment is not recommended to use vinegar. This will disrupt the acid-base balance and provoke the development of an ulcer. The use of the product significantly worsens the well-being of people with such diseases:

  • gastritis;
  • pancreatitis;
  • stomach and duodenal ulcer;
  • cholecystitis;
  • gastroenteritis.

In case of violation of liver functions, it is also undesirable to use acid. And vinegar diets pose a health risk. If you often eat dishes containing vinegar, this can disrupt the functionality of the entire gastrointestinal tract.

The substance damages the lining of the stomach, causing heartburn and intense pain. Harm is caused by acetic acid if it enters the stomach on an empty stomach, when the secretion of gastric juice is increased.

With a low level of acidity in the stomach, a small amount of the product can be consumed in cooked dishes. In this case, the increase in acidity is useful and will not lead to an exacerbation of the disease.

Absolute contraindications to the use of vinegar:

  • kidney disease;
  • children and old age;
  • chronic constipation;
  • prostatitis;
  • cystitis;
  • vein diseases.

Symptoms that acid can cause with constant use:

In minimal quantities, vinegar is allowed when:

Useful qualities of vinegar

With proper and moderate use, vinegar cleanses the body. The acid has an antimicrobial effect and helps lower blood cholesterol levels. It removes decay products from cells, renews them.

The main property of vinegar is the acceleration of metabolism (metabolism). And the first place on this property is occupied by apple cider vinegar. It helps to reduce appetite and weight. The use of the product accelerates the processing of glucose, prevents the production of a large amount of insulin, which contributes to the deposition of fat. It also has a strong diuretic effect. Vinegar removes waste and toxins.

Acid is a good antiseptic for wounds after insect bites, which are accompanied by severe itching. All positive properties are inherent only in natural vinegar, which is obtained from products by fermentation of alcohol-containing raw materials and acetic acid bacteria.

Negative properties of vinegar

An unnatural product is a diluted essence. Such vinegar as a traditional medicine is often used to treat sore throats as a gargle or to bring down the temperature as part of a compress.

It is impossible to use an unnatural product for medicinal purposes. It can cause skin burns and poisoning of the body with vapors.

Chemical burn of the skin

  • burning, tingling, pain;
  • redness of the skin;
  • the appearance of blisters.

First aid consists in thoroughly washing the affected surface with running water. The water should be warm, the duration of washing is 20 minutes. If the area of ​​the burn is larger than the palm of the victim, you should consult a doctor.

For the first 24 hours after a chemical burn, any medication should not be applied to damaged skin. They can react unexpectedly with acid residue and make the situation worse.

What not to do:

  • tear off fragments of clothing if they are stuck to the wound;
  • apply a neutralizing agent (lye) to the wound;
  • lubricate the wound with ointments or improvised means (vegetable oil) - this will lead to infection.

Vinegar vapor poisoning

Inhalation of acetic acid vapors is harmful, it causes burns of the respiratory tract mucosa. Once in the lungs, the poison quickly spreads through the blood throughout the body.

  • difficulty swallowing;
  • uneven shallow breathing;
  • swelling of the vocal cords - hoarseness of the voice;
  • swelling of the lungs and bronchi;
  • drop in blood pressure.

To reduce body temperature in children, rubbing with acid is used. Such a procedure is dangerous for the child, as he is forced to breathe vinegar vapor for several minutes. Thus, children poison themselves. Also, the acid is quickly absorbed through the skin and enters the bloodstream. This can provoke acute poisoning of the child's body.

As a first aid, the victim can be given 1-2 glasses of warm milk to drink and then taken to the hospital.

Ingestion of vinegar in the digestive tract

The manifestation of poisoning when vinegar gets inside:

  • burns of the mucous membranes of the gastrointestinal tract;
  • burns of internal organs;
  • acid enters the bloodstream and affects the entire body;
  • vapors entering the lungs - a burn of the respiratory tract.

The main symptom when a chemical substance gets inside is severe pain, which leads to the development of a pain shock. This form of poisoning is the most severe. The victim develops psychomotor agitation.

Symptoms from the digestive system:

  • vomiting, possibly with blood impurities;
  • profuse salivation;
  • strong smell of vinegar from the mouth;
  • black feces;
  • peritonitis.

Acetic acid destroys red blood cells, the released hemoglobin clogs small vessels. Against the background of a violation of the blood picture, renal failure develops. Diuresis sharply decreases, up to the absence of urine.

The process of blood clotting is disrupted, as a result - massive internal bleeding.

If vinegar gets inside, it is forbidden to give a person any antidotes, activated charcoal, or cause artificial vomiting.

The condition requires emergency hospitalization.

Precautions for using the product

Given the effect of vinegar on the human body, the likelihood of developing serious conditions that lead to improper use of vinegar, certain rules must be observed when handling acid:

  1. The main thing is that a bottle of vinegar should be kept out of the reach of a child.
  2. It is impossible to pour and store the product in unmarked containers, without an identification inscription.
  3. When cooking, care must be taken not to get acid on the skin.
  4. When using the product for culinary purposes, follow the prescription dosages.
  5. Do not use vinegar as a traditional remedy for colds and other illnesses.
  6. Do not use acid in cosmetic skin and hair care recipes.
  7. If you use the substance as a cleaning agent, protect your hands with rubber gloves.

Vinegar is a chemical that, even at low concentrations, can cause serious poisoning in humans. Concentrated acid, when ingested, causes irreversible processes, and subsequently leads to disability and death. To avoid this, it is enough to follow simple rules in the use of chemicals.

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Vinegar - on guard of cleanliness or to the detriment of health? SURVEY

The topic is this: my mother-in-law advocates for using household chemicals in the house as little as possible - she says that this is harmful to health.

For example, washing dishes - Feri's detergents and so on replaces salt, soda and, until recently, mustard - to be honest, I was surprised when I saw how well mustard washes fat, it's a pity that using all this, she still has to boil dishes or wash them in boiling water to wash it off completely.

So she refused mustard, I, in turn, brought Amveevskie sr-va which I use at home. I really like the fact that they have a gentle composition - my hands are very sensitive to all kinds of washing things (like my mother has eczema), and I also like that these products are enough for a long time due to the fact that they are sold in concentrated form.

I was very glad when I noticed that my mother-in-law sometimes used Amveev’s dish detergent and dish sponges (because for the sake of economy, she always washed dishes with different rags left over from something, which, being in a humid environment all the time, began to smell very quickly , slushy, and in general, bacteria were probably bred there a lot).

So now she has a new story - she began to actively use vinegar ... I really still don’t understand why - either it washes away fat from dishes, or removes stains on fabric, then that it’s not scale - it’s 100% because there is so much scale we don’t have the second week that the aromas throughout the apartment soared from morning to evening, and I didn’t notice that the scale was decreasing. I rummaged through the internet on the topic of the harmfulness and usefulness of vinegar ... of course, they write mainly about eating, but vinegar vapors are so pungent in smell, sometimes even to tears, that the question arises of how this all affects people, especially considering the presence of a one-year-old child in an apartment .

Here is what I found on this topic in various sources:

WIKIPEDIA: Vapors of acetic acid irritate the mucous membranes of the upper respiratory tract. Dangerous complications of poisoning with vinegar essence include acute renal failure and toxic liver dystrophy. (Acetic acid ( ethanoic acid) is an organic compound with the formula CH3COOH. Weak, limiting monobasic carboxylic acid. Salts and esters of acetic acid are called acetates. Acetic acid, the concentration of which is close to 100%, is called glacial.% aqueous solution of acetic acid is called vinegar essence, and 3-15% - vinegar).

Various forums: “I, as a chemist, will say that it is better to boil the vinegar, and pour a little acetic acid, let it stand, and then rinse well. The main thing is not to be in that room, not to inhale the fumes.

"The concentration of to-you in vinegar is not very high, inhaling vinegar fumes is not harmful if you do not do this constantly)"

“Vapours of acetic acid irritate the mucous membranes of the upper respiratory tract. Chronic exposure to vapors leads to diseases of the nasopharynx and conjunctivitis.

Articles about eating: The use of vinegar should be limited to convalescents, the elderly and nervous people. It is necessary to completely abandon it for those who suffer from hepatitis, gastritis, ulcers, and also have a weak intestine. A single use of table, grape or apple cider vinegar will not bring harm to the body. But you should not drink vinegar, albeit a very low concentration. The fact is that, in essence, it is acetic acid and its entry into the stomach can have an extremely unpleasant effect, up to an ulcer. Violation of the acid-base balance, the risk of getting problems with the digestive tract and even anemia - all this can be caused by vinegar. Therefore, if you have an ulcer, gastritis, or just a weak intestine, you should completely refrain from drinking vinegar. Moreover, even tooth enamel can be severely damaged by acetic acid, so brushing your teeth and rinsing your mouth is highly recommended.

This begs the question: do you think daily (at least 2 times in the morning and evening) inhalation of vinegar vapors is, in your opinion, harmful or harmless for adults and children?

PS. I already tensed up on this topic, so the thought arose that my nausea was recent, and I suppose dizziness could be associated with mild vinegar vapor poisoning, because at that moment I noticed that I was nauseated by this pungent smell (which is why I suspected B). Could this be?

PS2. I also noticed that when my mother-in-law washed the pan from the multicooker, for some reason milk curdled while cooking porridge (although I cooked it more than once) I began to think (the thought was really about my favorite soda) that they just washed it off badly after using "folk" dishwashing detergents.

This topic is repeated, another one was created, but the survey was incorrectly compiled there and it did not work. But there, some users left comments that (due to the removal of the old topic) I would like to be preserved. If they duplicate their comments here, I will delete them then, and if not, so that their useful thoughts are not lost.

poll is not working. I would not wash with vinegar ... I use products without unnecessary chemicals, without dyes, parabens, and other garbage.

Forgive me, I didn’t read it, but I caught the essence, buy your mother-in-law a Karcher steam cleaner, they can wash everything!

Kills 99% of microbes without chemistry

I don't give a damn about it... we live in a modern world. nowhere without chemistry

I wouldn't like it

Probably all the same, constantly inhaling these vapors is harmful. This is the answer to the question, I also wash dishes with Amway products, BUT I was on vacation and my daughter-in-law washes dishes with mustard, launders everything with a bang, I decided to use it too. I liked how she washes, nothing remains and the hands really do not suffer

I use chemistry despite my exacerbated dermatitis. By the way, I developed a different kind of allergy to Amveev powders - my nose was blocked, I sneezed all over. Vinegar - you can kill yourself. Sometimes I add a teaspoon to a 5-liter saucepan to borscht, and then you can suffocate. And rubbing pots with ACID is nonsense. Try to explain that this is no less a poison than dishwashing detergents.

soda - it’s understandable cleaning medium ... and my mother-in-law cleans something with coarse salt - frying pans, for example, from roasting.

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Signs and consequences of acetic acid vapor poisoning

Acetic acid is a pungent, colorless, clear liquid. This is a strong acid, which, if ingested, can cause irreversible consequences and even death.

In everyday life, acetic acid is used in the form of a solution. A 6-9% acid solution is familiar to everyone as table vinegar, an 80% solution is like vinegar essence. More concentrated solutions are used in industrial settings.

Toxic effect of acetic acid

The impact of acid on the human body is determined by two components:

  • local damaging effect (associated with direct contact of acid with tissues),
  • general (resorptive) - damage to various organs and systems as a result of acid absorption.

The most dangerous and at the same time the most frequent poisoning with acetic acid is associated with its ingestion. Poisoning with acetic acid fumes is rare, and occurs during emergencies at work or in the laboratory. The damaging effect of acid when inhaled can be accompanied by severe damage to the respiratory system, but very rarely ends in death. Household cases of inhalation poisoning with vinegar or vinegar essence are usually limited to mild or moderate damage to the upper respiratory tract (nasopharynx, larynx, trachea).

Clinical picture of acetic acid vapor poisoning

Acid vapors in the air cause eye irritation, which is manifested by cutting, burning, and lacrimation. Acetic acid in contact with the respiratory mucosa causes a chemical burn, which is accompanied by inflammation. When inhaling vapors of concentrated acid, there is a sharp pain in the throat and behind the sternum, shortness of breath. As a result of swelling of the larynx, choking and stridor breathing may appear. Damage to the vocal cords is manifested by complete aphonia or, in mild cases, hoarseness. Disturbs excruciating and painful dry cough, which then gives way to a productive one. The sputum at the same time has a mucopurulent character. In severe lesions, toxic pulmonary edema develops. In this case, the sputum becomes abundant, frothy with an admixture of blood. Shortness of breath increases, the skin becomes cyanotic or grayish, tachycardia increases, blood pressure decreases. During auscultation of the lungs, the mass of various wet and dry rales is determined.

In the future, severe inflammatory processes develop in the trachea, bronchi, and lungs.

Less concentrated solutions of acetic acid are accompanied by a slight flow. May be bothered by sneezing, sore throat, unproductive cough, hoarseness.

The resorptive effect of acid during inhalation poisoning is not pronounced and appears with prolonged inhalation of highly concentrated acid, which manifests itself in the form of metabolic acidosis.

Helping with acetic acid vapor poisoning

First aid is to restore airway patency. Mechanical asphyxia caused by laryngeal edema may require a tracheostomy, in milder cases, decongestants and anti-inflammatory drugs are prescribed, if they are ineffective, intubation is performed.

Further treatment includes painkillers, antihistamines, glucocorticosteroids, antispasmodics and anticholinergics. Purulent complications are treated with antibiotics. Symptomatic treatment is carried out.

Poisoning with vinegar and its vapors - symptoms and treatment of burns

Acetic acid, essence and table, apple or wine vinegar are widely used in everyday life and at work. At home, the universal remedy is used in cooking for marinating, canning, baking, as a dressing for salads or in the preparation of mayonnaises and sauces. Also, acetic acid is often a component of home cleaning mixtures, used in cosmetology and alternative medicine. In industry, vinegar is used in the manufacture of deodorants and detergents.

But is vinegar harmful? When used for its intended purpose and following the safety rules for working with a substance, a table bite, like essence or acid, is absolutely harmless to the human body and only benefits. But in medical practice, poisoning or burns with a substance are often found.

Vinegar poisoning occurs by negligence or intentionally. The severity of the consequences largely depends on the concentration of the substance, but also on the amount drunk. You can even get poisoned with ordinary table vinegar of 6-9% concentration, to say nothing of more concentrated acid (100%) and essence (70-80%).

Acetic acid is produced from fermented fruits (roughly speaking, it is sour and refined wine or juice), the rest of the substances are all the same acid, only diluted with water to the required concentration.

Routes of entry and lethality

As a rule, poisoning with acetic acid occurs through food, through the skin or by inhalation of toxic fumes.

Internal burns are typical if you drink vinegar or inhale the vapors for a long time. Poisoning with vinegar vapors is detrimental to the respiratory system, eating the substance, respectively, affects the esophagus and digestion as a whole. Damage to the internal organs of the gastrointestinal tract or breathing of moderate severity is comparable to burns of 30% of the body surface.

The rarest cause of serious poisoning is inhalation. To "breathe" vinegar to the point of poisoning requires highly concentrated vapors of acetic acid, which can be relatively rarely obtained at home. In addition, the bite has the ability to quickly disappear.

The main risk group for poisoning of this kind: a drinking person who, while intoxicated, takes acetic acid for vodka, suicide, girls who want to lose weight in such a dangerous way, and children.

In the event of a suicide attempt, disability, suffering and very serious consequences for the rest of your life are guaranteed with a 99% probability, but death is possible only if medical assistance is not provided on time.

An external burn with acetic acid is very easy to obtain if even a small amount of a substance of low concentration gets on the skin. Expired vinegar can also cause skin lesions. This type of chemical burn is common. Vinegar can get on the skin if safety rules or banal negligence are not followed. A defeat of this kind, in contrast to internal use, occurs most often unintentionally. Cases of intentional poisoning by skin lesions are very few.

Can a person die from acetic acid poisoning? With severe damage to internal organs and untimely medical care, a fatal outcome can occur.

Death occurs after taking about 50 ml of vinegar essence or 200 ml of table vinegar. That is how much the lethal dose is, but the data may vary depending on the individual characteristics of the organism of a particular person.

The effect of vinegar on the body

In alternative medicine, it is believed that table vinegar (apple) in small doses is good for human health, and many people actually use it for "health". However, any excess of the dosage sharply turns all the advantages of the substance into serious disadvantages, and acetic acid has an extremely negative effect on the body. The substance has a high harmfulness and toxicity.

The concentration of acetic acid influences the clinical manifestation. Mild poisoning is characterized by: focal lesions of the oral cavity, vinegar burns of the esophagus and minimal damage to internal organs.

With an average degree, poisoning with vinegar essence manifests itself with the following symptoms:

  • more pronounced burn of the oral cavity and esophagus;
  • getting into the affected area of ​​the stomach;
  • thickening of the blood;
  • sweat smells like vinegar (may be a symptom of other dangerous conditions);
  • hoarseness of voice;
  • pink color of urine.

What happens if a person drank a lot of vinegar? Signs of severe burns of internal organs appear after a short period of time after direct poisoning.

Characters are nausea and vomiting with blood impurities, intense pain in the chest and upper abdomen, dark red (up to black) urine. A poisoned person experiences a severe pain shock. Severe poisoning is a very dangerous process that can cause serious complications, such as kidney failure.

If vinegar gets on the skin, a typical chemical burn occurs, which can also be mild, moderate or severe. A vinegar burn is most often localized on the face, arms, or legs.

First aid and treatment

What to do if a child swallowed from a bottle of vinegar?

The first step is to call an ambulance, be sure to tell the reason for the call. First aid is effective only within two hours from the moment of poisoning, then it becomes very difficult to neutralize the vinegar, swelling of the internal organs occurs.

What can be done to help before the arrival of doctors if the child drank vinegar?

Help in case of poisoning before the arrival of doctors is simple, but it can somewhat improve the patient's condition and avoid serious consequences. To do this, rinse your mouth thoroughly several times. Almagel solution or burnt magnesia will help to neutralize the vinegar. You can give the victim some vegetable oil, which will partially alleviate the inflammation.

Is it possible to induce vomiting in a child to neutralize acetic acid?

Flushing in the common way "two fingers in the mouth" is unacceptable. Only a probe can be used. If the arrival of doctors is not expected soon, washing should be done independently. You need to buy a probe, a heating pad, ten packs of almagel in a pharmacy. The procedure is very painful, so you will need strong analgesics, which are best administered intramuscularly or intravenously. You can not wash the stomach if the vinegar poisoning occurred more than two hours ago.

Acetic acid vapor poisoning (for example, if a woman "breathed" the substance while cleaning) also requires immediate medical attention, but minor skin burns can be treated at home.

First aid is that the affected area should be washed under running water at room temperature, make a compress using antiseptics. You can not lubricate the damaged area with oil, iodine, alcohol or brilliant green, as well as independently open the formed blisters.

Recovery diet for vinegar poisoning

Treatment for vinegar poisoning involves a special diet that avoids additional damage to irritated mucous membranes. If the patient refuses to eat or does not have a swallowing reflex, food is introduced through the tube.

The diet should include the use of a large number of soups (without seasonings), oatmeal, buckwheat or rice porridge on the water, mashed meat, light steam omelettes. It is good to eat a lot of dairy products. Sour fruits, berries, smoking, alcoholic and carbonated drinks, coffee and cocoa are completely excluded.

Prevention of poisoning

The main preventive measure is extreme caution when using acetic acid at home and storing it out of the reach of children. Acetic acid, table vinegar or essence should be in tightly closed containers with a sticker or the inscription "poison".

If the house smells of vinegar after cleaning, you need to open the windows - the smell will quickly disappear. Do not allow the substance to come into contact with the skin, you should always work with aggressive cleaning agents in rubber gloves.

Vinegar (acetic essence or acid) is stored in the kitchen of almost every housewife. It is used on the farm for marinating, preserving, baking, or as a cleaning agent. The concentration of the solution depends on the scope of its use.

Poisoning with vinegar essence can occur due to careless handling of the substance or it can occur intentionally (for example, taking vinegar with the aim of suicide). This condition poses a serious danger to human health, the pathological process can end in sad consequences, including death.

This article will consider in detail whether it is possible to poison yourself with vinegar, what symptoms appear in this case, and how such a condition can end.

How does vinegar affect the body?

When ingested, acetic essence (acid) has both local and general resorptive effects.

  • local exposure provokes chemical burns of the mucous surface of the digestive tract, their swelling and inflammation;
  • the general resorptive effect is associated with the ability of acetic acid to be rapidly absorbed into the blood, which causes hemolysis (decay) of red blood cells. This leads to the formation of hematin hydrochloride crystals in the acidic renal environment, which clog the renal tubules. All this provokes the development of serious kidney diseases.

Hemolysis of erythrocytes also leads to a violation of the blood coagulation system. In fact, when vinegar is poisoned, a burn disease develops.

Is death possible?

A 9% concentration of table vinegar in a small amount will not cause serious harm. But large dosages and the use of a solution of 30% or more can lead to serious consequences. In some cases, even lethal escape is possible.

The following complications are deadly in case of poisoning with acetic acid:

  • the active effect of the substance on the tissue, causing the development of pain shock;
  • loss of large amounts of fluid and internal bleeding;
  • violation of the acidic environment in the body;
  • impaired functioning of the renal system;
  • deviations in the work of the liver caused by blockage of blood vessels;
  • damage to vital systems and organs.

Severity of poisoning

Vinegar poisoning can have various forms of severity. It all depends on the amount of dangerous substance that has entered the body.

Experts distinguish 3 degrees of severity of intoxication with vinegar:

  • light- develops with the use of 15-40 ml of acetic solution;
  • average- occurs after taking 40-70 ml of the substance;
  • heavy- occurs after ingestion of about 70-250 ml. acetic acid.

Symptoms of poisoning

Symptoms of vinegar poisoning are conventionally divided into two groups:

  • initial;
  • resorptive.

Initial signs include:

  • numerous chemical burns of the mucous surface of the oral cavity, larynx, digestive tract;
  • acute pain in the oral cavity, in the retrosternal zone and epigastrium;
  • repeated vomiting;
  • the presence of blood in the vomit;
  • severe abdominal pain associated with irritation of the peritoneum;
  • wheezing (stridor) breathing, accompanied by noise;
  • swelling of the larynx;
  • hoarseness of voice;
  • profuse salivation;
  • dyspnea;
  • sharp (unpleasant, chemical) smell from the mouth;
  • red urine.

Resorptive signs of poisoning begin to develop some time later, when the dangerous substance is absorbed into the bloodstream. These symptoms include:

  • development of acute nephrosis (kidney disease);
  • azotemia (increased levels of nitrogenous products in the blood);
  • anuria (lack of urine flow to the bladder);
  • hepatopathy (liver damage);
  • disruption of the hemostasis system.

First aid

Acetic acid poisoning is a pathological process that disrupts the functioning of all internal organs. To prevent dangerous consequences, it is important to provide assistance to the victim in a timely manner.

Consider what needs to be done if symptoms of vinegar poisoning are detected:

  1. Rinse your mouth with clean water (room temperature). This water cannot be swallowed, it must be spit out.
  2. Ice can be placed on the abdomen. Cold slows down the absorption of acid into the blood plasma from the gastric mucosa. Or it is worth suggesting that the patient chew 2-3 pieces of ice.
  3. With a strong pain syndrome, it is allowed to use Almagel A, which includes anestezin.
  4. It is strictly forbidden to wash the stomach in a "restaurant" way or to give poisoned drugs to induce vomiting.
  5. In no case should a soda solution be taken orally, since soda and acetic acid will cause a chemical reaction with the formation of a large amount of carbon dioxide. This will cause the stomach to expand and injure the digestive tract.

Features of treatment

Vinegar poisoning cannot be treated at home! It can lead to burn injuries and serious complications. Calling an ambulance is a necessary condition for maintaining the health of the poisoned. In a hospital setting, the necessary treatment method will be selected, taking into account the clinical picture of the disease.

First of all, medical workers take the following measures:

  1. Wash the stomach through a tube using saline.
  2. Pain medications are administered intravenously to eliminate severe pain. For example: Keiver, Ketorolac, Promedol.
  3. Antiemetics are used: Ositron, Cerucal, Metoclopromide.
  4. Plasma or plasma-substituting solutions are administered intravenously.
  5. Corticosteroids are used to prevent the development of a severe shock state. It can be: Dexamethasone, Prednisolone.
  6. To replenish the volume of lost fluid and relieve symptoms of intoxication, solutions such as Disol, Trisol are administered intravenously.
  7. With swelling of the larynx, irrigation with hormones or tracheotomy is used.

Also carried out additionally:

  • hormone therapy;
  • physiotherapy;
  • correction of progressive deviations;
  • prevention of complications.

Possible consequences

1-3 hours after vinegar enters the body, 10% of poisoned people develop acute perforations (violated integrity) of the esophagus and stomach.

Later, the following consequences may develop:

  • gastrointestinal bleeding;
  • the antrum of the stomach and esophagus narrows due to rough scarring of burn sites;
  • pneumonia (aspiration);
  • chronic renal failure;
  • suppuration of burn injuries;
  • purulent inflammation of the trachea or bronchi;
  • chronic gastritis;
  • inflammation of the esophagus;
  • exhaustion of the body and weight loss;
  • violation of acid-base balance and protein metabolism.

The prognosis of poisoning with a solution of vinegar depends on the quality of the assistance provided, the amount of the substance taken, and also on the changes that have occurred in the body.

The most dangerous for life is the initial period of poisoning - the first day after vinegar enters the body, when death is possible due to exotoxic shock or peritonitis.

Prevention measures

To prevent intoxication with vinegar, a number of safety rules must be observed:

  • if possible, do not keep (store) vinegar essence solutions at home. It is best to dilute vinegar with water immediately after purchase (in a ratio of 1:20) or buy ready-made table vinegar;
  • be sure to store the vinegar solution in a place inaccessible to the child, for example, on the top shelves of the kitchen cabinet;
  • when using vinegar solution in the process of marinating or preserving dishes, you should strictly adhere to the recommended dosage.

The ingestion of vinegar in the body in large quantities poses a serious threat to human life and health. Vinegar poisoning is also dangerous. Such a pathological process can result in numerous burn injuries to the respiratory and digestive organs, as well as disrupt the functioning of the whole organism. Therefore, self-medication with this type of poisoning is unacceptable! Consult a doctor - do not aggravate the situation!

Acetic acid, when exposed to the human body, haslocal cauterizing and general toxic effect on the blood (destruction of red blood cells - hemolysis), kidneys, liver.

Table vinegar (3-6-9%) is often used in everyday life for cooking, pickling, baking, descaling kettles, etc. Strong acetic acid (70-80%), or essence, is used for the same purpose, previously by diluting it with water to obtain the desired concentration.

Acetic acid is a colorless liquid with a characteristic pungent odor and sour taste. Hygroscopic, unlimitedly soluble in water. Miscible with many solvents. Accidental ingestion of vinegar is very difficult due to the strong smell of this acid and the immediate irritant effect on the respiratory tract. Nevertheless, such cases occur with sad constancy, and most often in persons suffering from alcoholism. The second option for using vinegar essence is a person’s suicidal intentions, when vinegar poisoning occurs consciously.

The toxic properties of acetic acid do not depend on the method by which it was obtained. The effect on living tissues is due to the concentration of the acid solution. The greatest danger in case of poisoning is acid with a strength of 30% or more. The lethal dose is approximately 20 ml.

Symptoms of poisoning with acetic acid (essence)

In the initial period of strong acid ingestion, the phenomena of toxic burn shock develop. On examination, signs of a superficial chemical burn (coagulative necrosis) are revealed in the face (red border of the lips, nasolabial triangle - in the form of brown stripes) and the oral cavity, local mucosal edema. The victims are excited, note the sharpest pains in the oral cavity, along the esophagus and stomach. There is repeated vomiting with an admixture of blood, esophageal-gastric bleeding. Significant salivation (salivation), mechanical asphyxia (suffocation) due to painful coughing and swelling of the larynx.

When poisoned with vinegar essence, urine becomes dark red (hemolysis), signs of hemoglobinuric nephrosis (anuria, azotemia) are expressed. By the end of the first day, in severe cases, yellowness of the skin appears as a result of hemolysis. The liver is enlarged and painful. The phenomena of reactive pancreatitis, peritonitis.

A frequent complication is purulent tracheobronchitis, pneumonia, toxic liver dystrophy, acute renal failure. From the third week, signs of cicatricial narrowing of the esophagus or, more often, the outlet section of the stomach appear. Constantly notedweight loss, violation of protein and water-electrolyte balance.

Mortality in the development of burn shock is quite high. It depends on a number of factors, such as the amount of acid drunk, the time to seek medical help, the adequacy of therapy, etc. In this regard, data on mortality from acetic acid poisoning, taken from different sources, vary greatly and can range from 12-18 to 70%.

First aid for poisoning with acetic acid (essence)

Do not induce vomiting, do not give soda inside! Swallow ice. Seek medical attention as soon as possible. In cases where medical care is not available, it is necessary to take cold water in large quantities.

First aid for poisoning with acetic acid, as well as with any other acid, consists in washing the stomach through a probe lubricated with vegetable oil, despite the presence of blood in the gastric contents. Before gastric lavage, narcotic analgesics are injected subcutaneously, atropine 0.1% - 0.5-1 ml. Plentiful drink, hunger, rest are shown. Sodium bicarbonate 4% up to 1500 ml IV with the appearance of dark urine and the development of metabolic acidosis.

With significant blood loss - repeated blood transfusions. Antibiotic therapy, hormone therapy, hemostatic agents are prescribed. For local treatment, a medicine is used inside (sunflower oil emulsion 10% -200 ml + anesthesin 2 ml + chloramphenicol 2 ml) every hour, 20 ml.
Treatment of burn shock, toxic nephropathy - infusion therapy (stabilization of hemodynamics, acid-base balance, water and electrolyte balance), maintenance of vital functions.

With the development of critical stenosis of the larynx, a conicotomy or tracheostomy is performed.

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