Suicidal behavior encompasses a spectrum of behavior from suicide attempt and preparatory behaviors. Attempted suicide must always be considered in older children, adolescents, and adults who have ingested a drug (see Suicidal Behavior Suicidal Behavior Suicide is death caused by an intentional act of self-harm that is designed to be lethal. With metals or hydrocarbon solvents, symptoms typically occur only after chronic exposure to the toxin.Įven if a patient is known to be poisoned, altered consciousness may be due to other causes (eg, central nervous system infection, head trauma, hypoglycemia, stroke, hepatic encephalopathy, Wernicke encephalopathy), which should also be considered. read more ) may cause acute liver failure that occurs one to a few days later. Identification of specific species is difficult, so treatment usually is guided by symptoms. Toxins and thus symptoms vary by species. read more, Amanita phalloides mushrooms Mushroom Poisoning Numerous mushroom species cause toxicity when ingested. Symptoms begin with acute gastroenteritis, followed by a quiescent period, then shock and liver failure. read more, iron Iron Poisoning Iron poisoning is a leading cause of poisoning deaths in children. Severity of hepatotoxicity after a single acute overdose is predicted by serum. Ingestion of hepatotoxins (eg, acetaminophen Acetaminophen Poisoning Acetaminophen poisoning can cause gastroenteritis within hours and hepatotoxicity 1 to 3 days after ingestion. The delay may occur because only a metabolite is toxic rather than the parent substance (eg, methanol, ethylene glycol, hepatotoxins). Symptoms typically begin soon after contact but, with certain poisons, are delayed. Rarely, parents, who may have some medical knowledge, poison their children because of unclear psychiatric reasons or a desire to cause illness and thus gain medical attention (a disorder called factitious disorder imposed on another Factitious Disorder Imposed on Another Factitious disorder imposed on another is falsification of manifestations of an illness in another person, typically done by caregivers to someone in their care. read more ) tend to have sedative or amnestic properties or both. read more, gamma-hydroxybutyrate Gamma Hydroxybutyrate Gamma hydroxybutyrate causes intoxication resembling alcohol intoxication or ketamine intoxication and, especially when combined with alcohol, can lead to respiratory depression, seizures, and. High doses can cause decreased level of consciousness and respiratory depression, which may require intubation and mechanical. read more, benzodiazepines Sedatives Sedatives include benzodiazepines, barbiturates, and related drugs. Drugs used to disable (eg, scopolamine Scopolamine Motion sickness is a symptom complex that usually includes nausea, often accompanied by vague abdominal discomfort, vomiting, dizziness, pallor, diaphoresis, and related symptoms. Occasionally, people are poisoned by someone who intends to kill or disable them (eg, to rape or rob them). Accidental poisoning may occur in older people because of confusion, poor eyesight, mental impairment, or multiple prescriptions of the same drug by different physicians (see also Drug-Related Problems in Older Adults Drug-Related Problems in Older Adults Drug-related problems are common in older adults and include drug ineffectiveness, adverse drug effects, overdosage, underdosage, inappropriate treatment, inadequate monitoring, nonadherence. read more, and other over-the-counter (OTC) drugs, may be involved. read more, acetaminophen Acetaminophen Poisoning Acetaminophen poisoning can cause gastroenteritis within hours and hepatotoxicity 1 to 3 days after ingestion. Large amounts chronically consumed damage the liver. Large amounts consumed rapidly can cause respiratory depression, coma, and death. Poisoning is also common among older children, adolescents, and adults attempting suicide multiple drugs, including alcohol Alcohol Toxicity and Withdrawal Alcohol (ethanol) is a central nervous system depressant. Accidental poisoning is common among young children, who are curious and ingest items indiscriminately despite noxious tastes and odors usually, only a single substance is involved.
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