Insecticide

Definition:
Poisoning caused by exposure to insecticide.

Poisonous Ingredient:

Household bug sprays are fairly non-toxic chemicals called pyrethrins (although these may cause life-threatening asphyxiation if inhaled). Industrial insecticides (which may OFTEN be found in household garages and greenhouses) contain many extremely toxic, life-threatening materials, including:

  • organophosphates
  • carbamates
  • paradichlorobenzenes

Many new and extremely toxic insecticides are continuously being developed.

Where Found:

various insecticides

Symptoms:
for organophosphate: Note: Serious poisoning can occur from just handling the organophosphate without gloves or without washing hands soon after exposure. Significant amounts are absorbed through the skin unless proper precautions are observed. Life-threatening paralysis and death can occur very quickly.

for carbamate:
  • body as a whole
    • weakness
    • sweating
    • convulsions
    • increased urination
  • respiratory
    • difficulty breathing
  • eyes, ears, nose, and throat
  • skin
    • blue lips and fingernails
  • gastrointestinal
    • loss of appetite
    • abdominal cramps
    • diarrhea
    • nausea and/or vomiting
  • nervous system
    • headache
    • anxiety
    • dizziness
    • coma
Note: Serious poisoning can occur from just handling the carbamate without gloves or without washing hands soon after exposure. Significant amounts are absorbed through the skin unless proper precautions are observed. Life-threatening symptoms may occur very quickly.

for paradichlorobenzene: for pyrethrum (pyrethrin):
Home Treatment:
Seek emergency medical care immediately. If the product is on the skin, wash area thoroughly for at least 15 minutes. Mouth to mouth resuscitation may be necessary if the person stops breathing. These substances can be lethal very quickly.
Before Calling Emergency:
Determine the following information:
  • the patient's age, weight, and condition
  • the name of the product (ingredients and strengths, if known)
  • the time it was swallowed
  • the amount swallowed
Poison Control, or a local emergency number:
See Poison Control centers for telephone numbers and addresses. Take the container with you to the emergency room.
What to expect at the emergency room:

Some or all of the following procedures may be performed:

  • For swallowed poison
    • Placement of a tube down the nose and into the stomach (a nasogastric tube, or an NG tube) to wash out the stomach
    • Activated charcoal administration
    • Endoscopy -- the placement of a camera down the throat to see the extent of burns to the esophagus and the stomach
    • Give IV fluids
    • Admission to the hospital
    • Give an antidote
    • Treat the symptoms
  • For inhaled poisons
    • A breathing tube may need to be inserted
    • Oxygen
    • Admission to the hospital or to the intensive care unit
    • Bronchoscopy (inserting a camera down the throat into the airway to evaluate the extent of burns to the airway and lungs)
  • For skin exposure
    • Irrigation (washing of the skin), perhaps every few hours for several days
    • Skin debridement (surgical removal of burned skin)
    • Admission or transfer to a hospital that specializes in burn care

Expectations (prognosis):
If an antidote is given quickly, recovery is likely. Time to treatment is critical. Continued improvement of symptoms over the first 4 to 6 hours under proper medical care usually indicates that recovery will occur. Although the symptoms are the same for carbamate and organophosphate, the carbamate has a more favorable outcome.

Review Date: 3/15/2002
Reviewed By: Kevin G. Wheeler, M.D., Department of Emergency Medicine, Boston Medical Center, Boston, MA. Review provided by VeriMed Healthcare Network.
A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's accreditation program is the first of its kind, requiring compliance with 53 standards of quality and accountability, verified by independent audit. A.D.A.M. is among the first to achieve this important distinction for online health information and services. A.D.A.M. is also a founding member of Hi-Ethics (www.hiethics.com) and subscribes to the principles of the Health on the Net Foundation (www.hon.ch).

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2003 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.