Household Products
                           ==================

þ See also Cleaning Products <P-Clean.TXT>

þ Fingernail Polish Remover:  acetone and various alcohols.  Accidental
  ingestion of 5-10 cc not a medical emergency; if amount verifiably small, no
  need for gastric decontamination.  May need ipecac or gastric lavage for
  larger amounts.  Charcoal useless.  But, see Artifician Fingernail Remover
  below:

þ Artificial Fingernail Remover:  contain acetonitrile that decomposes to
  cyanide slowly.  May cause delayed cyanide poisoning and death.  [JAMA
  1988; 260:3470-3473.] [Am J Emerg Med 1991; 9:264-267 _and_ 268-270 _and_
  271-272.] [Pediatrics 1991; 88:337-340.]

þ Ethylene Glycol (anti-freeze):
  - rapid test for Ethylene Glycol: maybe soon. (SAEM 2004)
  - urine fluorescence: useless test, lots of false +. "This test is now
    dead." -Lewis Goldfrank, M.D., session moderator. [Parsa T. Can
    physicians detect fluorescence in children's urine? AEM 2004;11(5):530-531.]
  - is metabolized to oxalate (oxalic acid) which is poisonous; check urine
    for oxalate crystals.
  - treat with ethanol ingestion and Vitamin B6 (pyridoxine) IV and
    hemodialysis.
  - some devices read glycolic acid (metabolite) as lactate, Presby's does.
  - may have left-over metabolic acidosis even a couple of days later after the 
    ethylene glycol is out of the system.
  - Also, fomepizole (e.g., Antizol(TM)) is available to use instead of
    ethanol
   <Fomep.TXT>

  See Also:  <Osmo.TXT -Osmolal Gap>

þ Lysol
 - The major substance in Lysol is diethylene glycol(DEG).
 - studies on various rodents. The major effect included renal failure,
   hepatic failure, and myocardial myocytolysis. In 1990 there were
   several cases in Nigeria and Bangladesh where children presented to
   hospitals with fever, renal failure, acidosis, hypotension and
   hypogylcemia. They had all received paracetamol syrup for fever. DEG
   was found to be in these elixers with concentrations approaching 20%.
   There was a 100% mortality within 2 weeks in the Nigerian group with
   no hemodialysis used. Patients were treated with IVF and 
   alkalinization. [Okuonghae HO, Ighogboja IS, Lawson JO, Nwana EJ. 
   Diethylene glycol poisoning in Nigerian children Ann Trop 
   Paediatr 1992;12(3):235-8.] Abstract: <P-HouseA.TXT -Okuonghae> 
   [Hanif M, Mobarak MR, Ronan A, Rahman D, Donovan JJ Jr, Bennish ML.
   Fatal renal failure caused by diethylene glycol in paracetamol 
   elixir: the Bangladesh epidemic. BMJ 1995;311(6997):88-91.] 
   Abstract:  <P-HouseA.TXT -Hanif>
 - Autopsy findings from several cases in Argentina disclosed the
   presence of hepatic, pancreatic and renal necrosis and the prominant
   lack of any evidence for calcium oxalate crystals unlike ethylene
   glycol poisoning. [Drut R, Quijano G, Jones MC, Scanferla P. 
   [Pathologic findings in diethylene glycol poisoning] Medicina 
   (B Aires) 1994;54(1):1-5.]  Abstract: <P-HouseA.TXT -Drut>
 - Apparantly rare case reports of oxaluria have
   been reported, however. 
 - Experimentally, it has been suggested that ethanol might protect 
   patients from the toxic metabolites of DEG poisoning although 
   the usefulness of this mode of therapy has not
   been universal. [Hébert JL, Auzépy P, Durand A. 
   [Acute human and experimental poisoning with diethylene glycol] 
   Sem Hop 1983;59(5):344-9.] Abstract:  <P-HouseA.TXT -Durand>

þ H2O2 Hydrogen Peroxide:  
 - 3% solution used for medicinal purposes, 
 - also commonly used in veterinary practice as an emetic.
 - Ingestion even of significant amounts not toxic.  
 - However, stronger solutions can be quite corrosive.