WIENERBERGER PU SPRAY ADHESIVE, CLEAR, 22L

Medical Treatment

Establish a patent airway with suction where necessary. Watch for signs of respiratory insufficiency and assist ventilation as necessary. Administer oxygen by non-rebreather mask at 10 to 15 l/min. A low-stimulus environment must be maintained (for lower alkyl ethers). Monitor and treat, where necessary, for shock, seizures, arrhythmias, and pulmonary oedema. Where ingestion is suspected rinse mouth and give up to 200 ml water (5 ml/kg recommended) for dilution where patient is able to swallow, has a strong gag reflex and does not drool. Consider orotracheal or nasotracheal intubation for airway control in unconscious patient or where respiratory arrest has occurred. Positive-pressure ventilation using a bag-valve mask might be of use. Start an IV D5W TKO. If signs of hypovolaemia are present use lactated Ringers solution. Fluid overload might create complications. Drug therapy should be considered for pulmonary oedema. Hypotension without signs of hypovolaemia may require vasopressors (for lower alkyl ethers). Hypotension with signs of hypovolaemia requires the cautious administration of fluids (for simple esters, gas exposures). Treat seizures with diazepam. Proparacaine hydrochloride should be used to assist eye irrigation. Hyperventilation and bicarbonate therapy might be indicated (for ethers). Haemodialysis might be considered in patients with impaired renal function (for ethers). Positive end-expiratory pressure (PEEP)-assisted ventilation may be required for acute parenchymal injury or adult respiratory distress syndrome (for simple esters). For methanol: Evaluate airway, breathing and circulation. Stabilise obtunded patients by giving naloxone, glucose and thiamine. Decontaminate with Ipecac or lavage for patients presenting 2 hours post-ingestion. Haemodialysis is recommended where peak methanol levels exceed 50 mg/dL. Ethanol, maintained at levels between 100 and 150 mg/dL, inhibits formation of toxic metabolites and may be indicated when peak methanol levels exceed 20 mg/dL. An intravenous solution of ethanol in D5W is optimal. Folate, as leucovorin, may increase the oxidative removal of formic acid. 4-methylpyrazole may be an effective adjunct in the treatment. Phenytoin may be preferable to diazepam for controlling seizure. Additional treatment may include sodium bicarbonate for metabolic acidosis, and hemodialysis or hemodiafiltration to remove methanol and formate from the blood. Folinic acid or folic acid is also administered to enhance the metabolism of formate. For isocyanates: Markedly symptomatic patients should receive oxygen, ventilatory support and an intravenous line. Treatment for asthma includes inhaled sympathomimetics (epinephrine [adrenalin], terbutaline) and steroids. Activated charcoal (1 g/kg) and a cathartic (sorbitol, magnesium citrate) may be useful for ingestion. Mydriatics, systemic analgesics and topical antibiotics (Sulamyd) may be used for corneal abrasions.