If in eyes:
- Immediately flush the eyes with copious amounts of clear, cool running water for a minimum of 15 minutes. Hold the eyelids apart during the flushing to ensure rinsing of the entire surface of the eyes and lids with water. Contact a physician immediately. If there will be a delay in getting medical attention, rinse the eyes for at least another 15 minutes.
If on skin or clothing:
- Immediately flush all affected areas with large amounts of clear water for at least 15 minutes. Remove contaminated clothing. Do not attempt to neutralize with chemical agents. Wash clothing before reuse. If skin irritation develops, contact a physician immediately.
- Induce vomiting immediately by giving two glasses of water and sticking a finger down the throat. Never give anything by mouth to an unconscious person. Contact a physician immediately
- Remove victim to fresh air. If breathing has ceased, clear the victim's airway and start mouth-to-mouth artificial respiration. If breathing is difficult, give oxygen. Contact a physician immediately.
Note to Physician
This product contains an Organophosphate (OP) Insecticide. However, it is the opinion of
the manufacturer/supplier, and their Occupational Medical consultant, that any significant
exposure to this OP Insecticide is highly unlikely. Based upon the formulation of the pest
strip, the individual's contact with the OP is extremely limited by design. Therefore, the
examining Physician should exercise prudent judgment in determining the causation of the
patient's symptoms - taking care to not overlook multiple other etiologies of the patient's
symptoms. In the USA and other countries, contact your local or national poison control
center for more information. If it is established that OP poisoning has occurred, the following
steps are recommended.
Establish airway and oxygenation. IV Atropine sulfate is the antidote of choice. Moderately severe poisoning: use 0.4-2.0 mg in adults or 0.05 mg/kg in children. Repeat every 15 minutes until atropinization is achieved. Severe poisoning may require larger doses. Cholinergic toxicity may recur as atropinization wears off; monitor patient closely. Draw blood for RBC and plasma cholinesterase. In addition, Pralidoxime (2-PAM) is indicated during the first 36 hours in severe poisonings. Slow IV administration (no less than 2 minutes) of 1 gm in adults or 20-50 mg/kg in children may be repeated in 1 to 2 hours if muscle weakness, twitching, and/or respiratory depression persist. Avoid morphine, aminophylline, phenothiazines, reserpine, furosemide and ethacrynic acid. Bathe and shampoo contaminated skin and hair. If ingested, empty stomach. If victim is alert, Syrup of Ipecac (2 tablespoons in adults, 1 tablespoon in small children) followed by water (2 glasses for adults, 1 glass for children) is indicated. If symptoms such as loss of gag reflex, convulsions, or unconsciousness occur before emesis, gastric lavage should be considered following intubation with a cuffed endotracheal tub.