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Zinc Poisoning
Important salts
• Zinc Phosphide
• Zinc Chloride
• Zinc Oxide
• ZINC Sulphate
• ZINC STEARATE
Zinc Phosphide
• Rodenticide
• Grey crystalline powder
• Repulsive odour of Rotten fish.
Action
• Ingested- reacts with hydrochloric acid
• Forms Phosphine- toxic
• Protoplasmic poison & inhibits cytochrome C
• Respiratory poison
Fatal Dose – 5 gm
Fatal period – 24 hours.
Signs and Symptoms
• GIT- Burning sensation , nausea and vomiting
• Respiratory system
• Dyspnoea , cyanosis, breathlessness, fever and
respiratory distress.
• Death- Pulmonary oedema and respiratory paralysis
• CVS- Dysrhythmias, circulatory collapse
• CNS- Coma , convulsions and death
• Liver
• If person survives more than 24 hours- hepatic failure
may occur.
• Fatty change and necrosis.
• Deeply jaundiced and death due to hepatorenal failure.
Renal complications
• Renal tubular necrosis
• Renal failure
Treatment
• Gastric lavage with potassium permanganate.
• Activated charcoal 100gm orally can be given to
adsorb Phosphine
• Antacids can be given to reduce the absorption of
Phosphine from the stomach.
• Liquid paraffin can be given to increase the excretion of
Zinc phosphide.
• Intravenous infusion of glucose saline and
hydrocortisone.
• Hypoxia should be corrected by giving oxygen.
• Metabolic acidosis should be corrected by giving
sodium bicarbonate
• Hemodialysis
Postmortem Appearance
• Garlicky smell in the stomach contents due presence of
phosphine
• Internal organs- Congested
• Lungs- Congested and edematous
• Liver- fatty change and centrilobular necrosis
• Brain- Oedematous
• Yellowish discoloration of all membranes,
meninges and costal cartilages- jaundice
Medicolegal Aspect
• Zinc phosphide is main content in rat poison.
• It is used for suicidal and homicidal purposes.
• Accidental poisoning- children
Zinc Oxide
• Poisonous .
• Chronic poisoning – industrial workers
• Metal fume fever
• Inhalation of zinc oxide vapour in industries
causes chill and fever, a condition knows as “zinc
ShakeS”
Signs and Symptoms
• An influenza like syndrome
• Starts 4-8 hours after the exposure to fumes.
• Patients will have fever, headache, chills,
dyspnoea, cyanosis, metallic taste in mouth,
salivation, sweating and tachycardia,
Treatment
• Oxygen
• Bronchodilators
• Symptomatic treatment
THANK YOU

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Zinc poisoning

  • 2. Important salts • Zinc Phosphide • Zinc Chloride • Zinc Oxide • ZINC Sulphate • ZINC STEARATE
  • 3. Zinc Phosphide • Rodenticide • Grey crystalline powder • Repulsive odour of Rotten fish.
  • 4. Action • Ingested- reacts with hydrochloric acid • Forms Phosphine- toxic • Protoplasmic poison & inhibits cytochrome C • Respiratory poison
  • 5. Fatal Dose – 5 gm Fatal period – 24 hours.
  • 6. Signs and Symptoms • GIT- Burning sensation , nausea and vomiting • Respiratory system • Dyspnoea , cyanosis, breathlessness, fever and respiratory distress. • Death- Pulmonary oedema and respiratory paralysis
  • 7. • CVS- Dysrhythmias, circulatory collapse • CNS- Coma , convulsions and death • Liver • If person survives more than 24 hours- hepatic failure may occur. • Fatty change and necrosis. • Deeply jaundiced and death due to hepatorenal failure.
  • 8. Renal complications • Renal tubular necrosis • Renal failure
  • 9. Treatment • Gastric lavage with potassium permanganate. • Activated charcoal 100gm orally can be given to adsorb Phosphine • Antacids can be given to reduce the absorption of Phosphine from the stomach.
  • 10. • Liquid paraffin can be given to increase the excretion of Zinc phosphide. • Intravenous infusion of glucose saline and hydrocortisone. • Hypoxia should be corrected by giving oxygen. • Metabolic acidosis should be corrected by giving sodium bicarbonate • Hemodialysis
  • 11. Postmortem Appearance • Garlicky smell in the stomach contents due presence of phosphine • Internal organs- Congested • Lungs- Congested and edematous • Liver- fatty change and centrilobular necrosis
  • 12. • Brain- Oedematous • Yellowish discoloration of all membranes, meninges and costal cartilages- jaundice
  • 13. Medicolegal Aspect • Zinc phosphide is main content in rat poison. • It is used for suicidal and homicidal purposes. • Accidental poisoning- children
  • 14. Zinc Oxide • Poisonous . • Chronic poisoning – industrial workers • Metal fume fever • Inhalation of zinc oxide vapour in industries causes chill and fever, a condition knows as “zinc ShakeS”
  • 15. Signs and Symptoms • An influenza like syndrome • Starts 4-8 hours after the exposure to fumes. • Patients will have fever, headache, chills, dyspnoea, cyanosis, metallic taste in mouth, salivation, sweating and tachycardia,