Chlorate toxicity

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Background

  • Potassium Chlorate, Barium Chlorate, and Sodium Chlorate are still in use today
  • Fireworks, match heads, and weed killers

Mechanism of Toxicity

  • Oxidizers and attackers of sulfhydryl groups
  • Cause methemoglobin formation

Clinical Presentation

  • Abdominal Pain
  • Vomiting
  • Diarrhea
  • Methemoglobinemia
  • Coagulopathy

Diagnosis

  • Based on clinical history and presence of methemoglobinemia
  • No specific levels are available

Management

  • Activated charcoal IS recommended
  • Methylene Blue for methemoglobinemia (1-2 mg/kg of 1% solution)
  • Sodium Thiosulfate IV may inactivate chlorate ions (anecdotal)
  • Hemodialysis
  • Supportive Care

External Links

References

Olson, K. Poisoning and Drug Overdose, 1999.