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</div><div><span>Sodium carbonate poisoning</span></div></div>
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</a><h1 class="with-also" itemprop="name">Sodium carbonate poisoning</h1>
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</noscript></div><div class="main-single"><div id="ency_summary"><p>Sodium carbonate (known as washing soda or soda ash) is a chemical found in many household and industrial products. This article focuses on poisoning due to sodium carbonate.</p><p>This article is for information only. DO NOT use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, call the local emergency number (such as 911), or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.
</p></div><section><div class="section"><div class="section-header"><div class="section-title"><h2>Poisonous Ingredient</h2></div><div class="section-button"><button type="submit" aria-controls="section-1" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-1"><p>Sodium carbonate</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Where Found</h2></div><div class="section-button"><button type="submit" aria-controls="section-2" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-2"><p>Sodium carbonate is found in:</p><ul><li>Automatic dishwashing soaps</li><li>Clinitest (diabetes testing) tablets</li><li>Glass products</li><li>Pulp and paper products</li><li>Some bleaches</li><li>Some bubble bath solutions</li><li>Some steam iron cleaners </li></ul><p>Note: This list is not all-inclusive.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Symptoms</h2></div><div class="section-button"><button type="submit" aria-controls="section-3" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-3"><p>Symptoms from swallowing sodium carbonate may include:</p><ul><li>Breathing problems due to throat swelling</li><li><a test="test" href="./003092.htm">Collapse</a></li><li>Diarrhea</li><li>Drooling</li><li>Eye irritation, redness, and pain</li><li>Hoarseness</li><li>Low blood pressure (may develop rapidly)</li><li>Severe pain in the mouth, throat, chest, or abdominal area</li><li>Shock</li><li>Swallowing difficulty</li><li>Vomiting </li></ul><p>Symptoms from skin or eye contact may include:</p><ul><li>Skin burning, drainage, and pain</li><li>Eye burning, drainage, and pain</li><li>Vision loss </li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Home Care</h2></div><div class="section-button"><button type="submit" aria-controls="section-4" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-4"><p>Seek immediate medical help. Do not make a person throw up unless told to do so by poison control or a health care professional.</p><p>If the chemical is on the skin or in the eyes, flush with lots of water for at least 15 minutes.</p><p>If the chemical was swallowed, immediately give the person one glass of water, unless instructed otherwise by a health care provider. Do not give water if the person is having symptoms (vomiting, convulsions, or a decreased level of alertness) that make it hard to swallow.</p><p>If the person breathed in the poison, immediately move them to a place with fresh air.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Before Calling Emergency</h2></div><div class="section-button"><button type="submit" aria-controls="section-5" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-5"><p>If readily available, determine the following information:</p><ul><li>The person's age, weight, and condition</li><li>The name of the product (ingredients and strength, if known)</li><li>The time it was swallowed</li><li>The amount swallowed </li></ul><p>Take the container with you to the emergency room.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Poison Control</h2></div><div class="section-button"><button type="submit" aria-controls="section-6" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-6"><p>Your local <a test="test" href="./002724.htm">poison control center</a> can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States. This national hotline will let you talk to experts in poisoning. They will give you further instructions.</p><p>This is a free and confidential service. All local poison control centers in the United States use this national number. You should call if you have any questions about poisoning or poison prevention. It does NOT need to be an emergency. You can call for any reason, 24 hours a day, 7 days a week.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>What to Expect at the Emergency Room</h2></div><div class="section-button"><button type="submit" aria-controls="section-7" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-7"><p>The provider will measure and monitor the person's vital signs, including: </p><ul><li>Oxygen saturation</li><li>Temperature</li><li>Pulse</li><li>Breathing rate</li><li>Blood pressure </li></ul><p>Symptoms will be treated as appropriate. The person may receive:</p><ul><li>Airway and/or breathing support -- including oxygen via external delivery device or endotracheal intubation (placement of a breathing tube through the mouth or nose into the airway) with placement on a ventilator (life support breathing machine)</li><li>Blood tests</li><li>Electrocardiogram (ECG)</li><li>Endoscopy -- a camera is used to examine down the throat to see burns in the esophagus and the stomach</li><li>Laryngoscopy or bronchoscopy -- a device (laryngoscope) or camera (bronchoscope) is used to examine the throat and airway to see burns</li><li>Eye and skin irrigation</li><li>Fluids through a vein (IV)</li><li>Medicines to treat symptoms</li><li>X-rays of the chest and abdomen</li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Outlook (Prognosis)</h2></div><div class="section-button"><button type="submit" aria-controls="section-8" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-8"><p>Sodium carbonate is usually not very toxic in small amounts. However, if you swallow large amounts, you may have symptoms. In this rare situation, long-term effects, even death, are possible if you do not receive quick and aggressive treatment.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Alternative Names</h2></div><div class="section-button"><button type="submit" aria-controls="section-Alt" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Alt"><p>Sal soda poisoning; Soda ash poisoning; Disodium salt poisoning; Carbonic acid poisoning; Washing soda poisoning</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>References</h2></div><div class="section-button"><button type="submit" aria-controls="section-Ref" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Ref"><p>Clawson A, Quang L. Principles of toxin assessment and screening. In: Zimmerman JJ, Clark RSB, Fuhrman BP, et al, eds. <em>Fuhrman and Zimmerman's Pediatric Critical Care</em>. 6th ed. Philadelphia, PA: Elsevier; 2022:chap 125.</p><p>Hoyte C. Caustics. In: Walls RM, ed. <em>Rosen's Emergency Medicine: Concepts and Clinical Practice</em>. 10th ed. Philadelphia, PA: Elsevier; 2023:chap 143.</p></div></div></section>
<section><div class="section"><div class="section-header"><div class="section-title"><h2>Review Date 7/12/2024</h2></div><div class="section-button"><button type="submit" aria-controls="section-version" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<div id="section-version" class="section-body"><p>Updated by: Jesse Borke, MD, CPE, FAAEM, FACEP, Attending Physician at Kaiser Permanente, Orange County, CA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. </p>
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