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Chemwatch:4650.10 Page 3 of 15 Issue Date:11/16/2017 Version No:6.1.1.1 Phosphate Test Solution#1 Print Date:06/21/2019 If this product comes in contact with the eyes: Immediately hold eyelids apart and flush the eye continuously with running water. Ensure complete irrigation of the eye by keeping eyelids apart and away from eye and moving the eyelids by occasionally lifting the upper and lower lids. Continue flushing until advised to stop by the Poisons Information Centre or a doctor,or for at least 15 minutes. Transport to hospital or doctor without delay. Removal of contact lenses after an eye injury should only be undertaken by skilled personnel. If skin or hair contact occurs: Immediately flush body and clothes with large amounts of water,using safety shower if available. Quickly remove all contaminated clothing,including footwear. Skin Contact Wash skin and hair with running water.Continue flushing with water until advised to stop by the Poisons Information Centre. Transport to hospital,or doctor. If fumes or combustion products are inhaled remove from contaminated area. Lay patient down.Keep warm and rested. Prostheses such as false teeth,which may block airway,should be removed,where possible,prior to initiating first aid procedures. Apply artificial respiration if not breathing,preferably with a demand valve resuscitator,bag-valve mask device,or pocket mask as trained.Perform CPR if necessary. Transport to hospital,or doctor,without delay. Inhalation Inhalation of vapours or aerosols(mists,fumes)may cause lung oedema. Corrosive substances may cause lung damage(e.g.lung oedema,fluid in the lungs). As this reaction may be delayed up to 24 hours after exposure,affected individuals need complete rest(preferably in semi-recumbent posture)and must be kept under medical observation even if no symptoms are(yet)manifested. Before any such manifestation,the administration of a spray containing a dexamethasone derivative or beclomethasone derivative may be considered. This must definitely be left to a doctor or person authorised by him/her. (ICSC13719) For advice,contact a Poisons Information Centre or a doctor at once. Urgent hospital treatment is likely to be needed. If swallowed do NOT induce vomiting. If vomiting occurs,lean patient forward or place on left side(head-down position,if possible)to maintain open airway Ingestion and prevent aspiration. Observe the patient carefully. Never give liquid to a person showing signs of being sleepy or with reduced awareness;i.e.becoming unconscious. Give water to rinse out mouth,then provide liquid slowly and as much as casualty can comfortably drink. Transport to hospital or doctor without delay. Most important symptoms and effects, both acute and delayed See Section 11 Indication of any immediate medical attention and special treatment needed For acute or short term repeated exposures to strong acids: Airway problems may arise from laryngeal edema and inhalation exposure. Treat with 100%oxygen initially. Respiratory distress may require cricothyroidotomy if endotracheal intubation is contraindicated by excessive swelling Intravenous lines should be established immediately in all cases where there is evidence of circulatory compromise. Strong acids produce a coagulation necrosis characterised by formation of a coagulum(eschar)as a result of the dessicating action of the acid on proteins in specific tissues. INGESTION: Immediate dilution(milk or water)within 30 minutes post ingestion is recommended. DO NOT attempt to neutralise the acid since exothermic reaction may extend the corrosive injury. Be careful to avoid further vomit since re-exposure of the mucosa to the acid is harmful. Limit fluids to one or two glasses in an adult. Charcoal has no place in acid management. Some authors suggest the use of lavage within 1 hour of ingestion. SKIN: Skin lesions require copious saline irrigation.Treat chemical burns as thermal burns with non-adherent gauze and wrapping. Deep second-degree burns may benefit from topical silver sulfadiazine. EYE: Eye injuries require retraction of the eyelids to ensure thorough irrigation of the conjuctival cul-de-sacs. Irrigation should last at least 20-30 minutes. DO NOT use neutralising agents or any other additives. Several litres of saline are required. Cycloplegic drops,(1%cyclopentolate for short-term use or 5%homatropine for longer term use)antibiotic drops,vasoconstrictive agents or artificial tears may be indicated dependent on the severity of the injury. Steroid eye drops should only be administered with the approval of a consulting ophthalmologist). [Ellenhorn and Barceloux:Medical Toxicology] SECTION 5 FIRE-FIGHTING MEASURES Extinguishing media Continued...