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Published on: September 11, 2018
Ingestion of Laundry Detergent Packets in Children
1Lindsey Wilson Shah is a recent graduate of the pediatric critical care nurse practitioner program at the University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania. She currently works in the pediatric intensive care unit at Texas Children's Hospital in Houston, Texas. wilsonlindseym@gmail.com.
Insights
Young children are at risk from laundry detergent packet ingestion. Critical care nurses must recognize and manage severe toxic effects like central nervous system depression and respiratory distress.
Area of Science:
- Pediatric Toxicology
- Emergency Nursing
- Child Safety
Background:
- Laundry detergent packets pose a significant poisoning risk to young children.
- Toddlers' developmental stage leads to accidental ingestion due to packet appearance.
Purpose of the Study:
- To inform critical care nurses about the risks and clinical effects of laundry detergent packet ingestion.
- To enhance preparedness for managing pediatric poisoning cases.
Main Methods:
- Review of clinical effects associated with laundry detergent packet ingestion.
- Emphasis on the role of critical care nurses in early identification and intervention.
Main Results:
- Ingestion can cause severe toxicity, including central nervous system depression, metabolic acidosis, respiratory distress, and dysphagia.
- The alkaline nature of the liquid contributes to oropharyngeal damage.
Conclusions:
- Critical care nurses must anticipate and promptly manage the toxic effects of laundry detergent packet ingestion.
- Increased awareness improves nursing care for affected children.
Abstract:
Ingestion of laundry detergent packets is an important threat to young children. Because of their developmental stage, toddlers are prone to place these small, colorful packets in their mouths. The packets can easily burst, sending a large volume of viscous, alkaline liquid throughout the oropharynx. Ingestion causes major toxic effects, including depression of the central nervous system, metabolic acidosis, respiratory distress, and dysphagia. Critical care nurses should anticipate these clinical effects and facilitate prompt intervention. Increased understanding of the risks and clinical effects of ingestion of laundry detergent packets will better prepare critical care nurses to provide care for these children. (Critical Care Nurse 2016; 36[4]:70-75).
Related Concept Videos
Prevention of Further Absorption of Poison
Drug Dosing: Infants and Children
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption
Pharmacokinetics in Pediatric Patients: Drug Excretion
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Pharmaceutical Poisoning: Treatment Strategies

