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Bacitracin zinc overdose
 
SubjectContents
Definition This poisoning is due to an overdose of bacitracin zinc.
Alternative Names 
Poisonous Ingredient
  • Bacitracin
  • Zinc
  • Where Found
  • Some prescription antibiotic eye drops, such as Neosporin Ophthalmic drops
  • Some prescription antibiotic eye ointments, such as Neosporin Ophthalmic Ointment
  • Some antibiotic sprays, such as Polysporin Spray
  • Some antibiotic ointment, such as Neosporin and Polysporin
  • Note: This list may not be all inclusive.
    Symptoms
  • Body as a whole
  • Swelling
  • of lips and face
  • Sweating
  • Tightness of chest
  • Respiratory
  • Temporarily stop breathing
  • Skin
  • Rash
  • Itching
  • Heart and blood vessels
  • Low blood pressure
  • Heart stops
  • Nervous system
  • Unconsciousness
  • Note: These reactions are more likely as a result of an
  • allergic reaction rather than a true overdose situation.
    Home Treatment Discontinue the use of the antibiotic. Seek emergency medical care immediately. Call Poison Control for guidance.
    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
  • Treat the allergic reaction with diphenhydramine and prednisone.
  • 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 (gastric lavage).
  • 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 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 the allergic reaction can be controlled, recovery is very likely.
      

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