kerosene oil poisoning

INROCUCTION

               kerosene is commonly use in house  and most of the time it is kept in cold drinks empty bottles .kerosene oil poisoning is a common emergency condition especially  in children how may drink kerosene oil in mistake for cold drinks .juice or water toxicity of the kerosene oil poisoning depend open the amount of quantity taken . more then 10 mi of kerosene oil ingestion may be fatal .kerosene oil poisoning produce toxic effects in the body by two way.. 

1)aspiration pneumonia

               kerosene oil or volatile can reach easily to terminal pulmonary air way . to produce pulmonary or respiratory symptom . it is not necessary for the product to be aspirated in to trachea or bronchi . only presence of such volatile agent in pharynx cold be sufficient for downward spread to produce aspiration pneumonia .

2)systemic effects 

         degenerative change can occur in GIT ,liver ,CNS and kidneys more commonly CNS depression occur which is cause mental confusion ,impaired consciousness or coma . after ingestion there is a kerosene taste in mouth a sensation of burning in throat . nausea . vomiting , abdominal pain and diarrhoea . there is kerosene smell in breath urine and vomitus 

management 

[due to risk of aspiration pneumonia stomach wash gastric lavage should not be done 

[ to decrease and dissolve the absorption of kerosene oil 250 ml liquid paraffin  should be used 

[ general measures should be take as emergency treatment 

[ make sure the clearance of air way 

[correction of hypoxia should be done 

[ symptomatic treatment should be done is needed 

[ antibiotic should be used to prevent lungs complication E G[pneumonia pulmonary edema ]which are common as kerosene entered in the lungs