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Patients with symptoms of severe burns or perforation may require renal perform exams and blood typing. Endoscopic analysis is crucial in cases of sodium hydroxide ingestion, and surgical consultation is recommended for patients who have suspected perforation. Signs and symptoms don't provide an correct guide to the extent of damage. Severe esophageal burns have occurred even in instances the place burns of the mouth or oropharynx weren't seen. The ingestion of enormous quantities of sodium hydroxide may end in shock.
Children don't always reply to chemicals in the same means that adults do. Different protocols for managing their care may be wanted.
If a work-related incident has occurred, you may be legally required to file a report; contact your state or native health division. The diagnosis of acute sodium hydroxide toxicity is primarily clinical, based on signs of corrosive harm. However, laboratory testing is helpful for monitoring the affected person and evaluating complications. Routine laboratory studies for all exposed patients include CBC, glucose, and electrolyte determinations. Patients who've respiratory complaints may require chest radiography and pulse oximetry (or ABG measurements).
Continue eye irrigation until the pH of the conjunctival sac is impartial (pH 7). Ensure that any particulate matter has been eliminated.
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