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Chemwatch:4650-8 Page 3 of 14 Issue Date:11/12/2018 Version No:6.1.1.1 API Pond Ammonia Test Solution#2 Print Date:06/21/2019 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 Inhalation 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. 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 highly alkaline materials: Respiratory stress is uncommon but present occasionally because of soft tissue edema. Unless endotracheal intubation can be accomplished under direct vision,cricothyroidotomy or tracheotomy may be necessary. Oxygen is given as indicated. The presence of shock suggests perforation and mandates an intravenous line and fluid administration. Damage due to alkaline corrosives occurs by liquefaction necrosis whereby the saponification of fats and solubilisation of proteins allow deep penetration into the tissue. Alkalis continue to cause damage after exposure. INGESTION: r Milk and water are the preferred diluents No more than 2 glasses of water should be given to an adult. r Neutralising agents should never be given since exothermic heat reaction may compound injury. *Catharsis and emesis are absolutely contra-indicated. Activated charcoal does not absorb alkali. Gastric lavage should not be used. Supportive care involves the following: Withhold oral feedings initially. If endoscopy confirms transmucosal injury start steroids only within the first 48 hours. Carefully evaluate the amount of tissue necrosis before assessing the need for surgical intervention. Patients should be instructed to seek medical attention whenever they develop difficulty in swallowing(dysphagia). SKIN AND EYE: Injury should be irrigated for 20-30 minutes. Eye injuries require saline. [Ellenhorn&Barceloux:Medical Toxicology] SECTION 5 FIRE-FIGHTING MEASURES Extinguishing media Water spray or fog. Foam. Dry chemical powder. BCF(where regulations permit). Carbon dioxide. Special hazards arising from the substrate or mixture Fire Incompatibility None known. Special protective equipment and precautions for fire-fighters Fire Fighting Alert Fire Brigade and tell them location and nature of hazard. Continued...