Poisoning – Zinc Phosphide
- Zinc phosphide is the active ingredient of some rodenticides whose poisoning is mainly suicidal attempts.
- Once it is ingested it is converted into phosphine gas.
- The mortality rate of its poisoning is 37-100%
- As a result of the extensive damage to the heart and the lungs, the patients die early in treatment.
- Retrosternal pain
- Shortness of breath,
- Circulatory collapse
- Shock symptoms
- Acute pulmonary edema
- Congestive heart failure
- Liver failure
- Severe hypoglycaemia
- Tonic-clonic seizures
- Acute severe metabolic acidosis
- It has no specifc antidote
- IV fluids in severe case
- Activated charcoal
- Intubation and mechanical ventilation in severe cases
- Infusion to correct hypotension
- Monitor the functions of vital organs and metabolic parameters.