By Mayo Clinic staff
The average home is full of items that can poison a child. Some of
them are self-evident - roach spray and rat poison. But others are
more surprising, such as iron pills, furniture polish, windshield
washer fluid and mouthwash.
You can help prevent childhood poisonings by identifying the poisons
in your home and ensuring that they are stored safely.
Medicines and vitamins
It is possible for a child to die from liver damage after swallowing
as few as five adult-strength vitamin pills with iron. Children can
also start vomiting blood or have bloody diarrhea less than an hour
after ingesting even a few iron supplements.
Don't take medicine in front of small children; they often imitate
adults. And never refer to medicine as candy. Adult medications that
are especially dangerous for children include:
Diet pills and other stimulants
Decongestants
Antidepressants
Blood pressure pills
Iron supplements
Many types of alcohol
When children swallow alcohol, they can potentially have seizures, go
into a coma or even die. And there are many types of alcohol - each
used in different household products.
For example, wood alcohol (methanol) is used in antifreeze,
windshield washer fluid, shellac, varnish and paint remover. Other
types of alcohol are used in mouthwash, facial cleaners, after-
shaves, cologne and antibacterial hand cleaners.
Household cleaners and fuels
Drain openers, toilet bowl cleaners, rust removers and oven cleaners
can cause chemical burns, which often damage tissue just as much as
actual flames do. Dishwasher soap, bleach and ammonia are all toxic
if swallowed. If bleach and ammonia are mixed, they produce a
poisonous gas. Ammonia also comes in the form of smelling salts
capsules, which could be mistaken for candy.
Furniture polish is part of a broad category (hydrocarbons) that
includes gasoline, kerosene, lamp oil, motor oil, lighter fluid and
paint thinners. Hydrocarbons are among the leading causes of
poisoning death in children.
Pesticides
While most child poisonings involve eating or drinking toxic
substances, poisons also can enter the body through the skin or eyes,
or by being inhaled.
For example, many of the chemicals used to kill bugs and other pests
can be absorbed through the skin, or the fumes can be inhaled. Some
of these chemicals affect the nervous system and can make it
difficult to breathe.
Carbon monoxide
Carbon monoxide (CO) is a deadly gas produced when fuel is burned.
Common sources of CO include cars, lawn mowers, furnaces, fireplaces
and grills.
Most fuel-powered items are designed to reduce the risk of CO
poisoning, but they can malfunction or be used improperly. For
example, people often commit suicide by running their cars inside
closed garages allowing deadly levels of CO to be inhaled.
Breathing CO prevents the red blood cells from carrying oxygen.
Because children are smaller, lesser amounts of the gas can harm
them. In addition to smoke detectors, every home also should have a
carbon monoxide detector.
Poisonous plants
The fruits, seeds or roots of many common plants are poisonous,
including:
Azalea
Daffodil
Elephant's ear
Foxglove
Holly
Iris
Lily of the valley
May apple
Mistletoe
Morning glory
Peace lily
Eating any part of a wild mushroom can be very dangerous. Immediately
call 1-800-222-1222 and you will be automatically routed to your
local poison control center. If you have pieces of the actual
mushroom that was eaten, save it in a brown paper bag. Many poisonous
mushrooms look very much like edible ones. The visible differences
are apparent only to experts.
Safe storage
Store all poisonous household substances out of sight and out of
reach. Locked cabinets are best. Make sure your prescription
medications come with child-resistant caps. Close containers right
after you use them.
Keep dangerous substances in the containers they came in. This keeps
the safety information on the label right with the pertinent product.
Do not store these products in cups, jars, soft-drink bottles or milk
jugs. Children may think they are OK to eat or drink.
Poisoning clues
If you see a bottle of pills or some other dangerous product standing
open or partially spilled, your child may have gotten into it and
become poisoned. Unusual symptoms that may accompany poisoning
include:
Sleepiness even though it's not nap time
Inability to follow you with his or her eyes
Burns or stains around the mouth
Strange-smelling breath
What to do when you suspect poisoning
If your child is unconscious, having convulsions or having difficulty
breathing, call 911 immediately or take him or her to the closest
hospital emergency room.
If your child is conscious, call 1-800-222-1222 and you will be
automatically routed to your local poison control center. Have the
following information ready:
Your child's age and weight
Descriptions of contents and other facts printed on product
containers or medicine bottles
Time that the poisoning may have occurred
Your telephone number
Do not induce vomiting
In the past, the American Academy of Pediatrics (AAP) advised parents
to keep ipecac syrup, which causes vomiting, on hand for use if a
doctor or poison control center recommended it.
The AAP changed its policy after concluding that ipecac does a poor
job of removing poison from the body. Induced vomiting is also
unpleasant, and it may make things worse. If you have ipecac in your
home, dispose of it safely.
Prevent accidental poisoning
More than half of all poison exposures occur in children under the
age of 6. Help keep your children safe by storing dangerous
substances properly and teaching your children about the dangers of
poisons.
Related Information
Lead poisoning
Children's Health Center
Baby's Health Center
Additional Resources
American Association of Poison Control Centers
May 05, 2005
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