First-Aid!

THE FOLLOWING FIRST-AID INFORMATION APPLIES TO ALL STANDARD NICOTINE ADDITIVES
 - POISON CONTROL 24HR. HOTLINE: (800)222-1222 - 

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The following First Aid information relating to liquid nicotine is provided courtesy of Centers for Disease Control and Prevention. See complete "Emergency Response Card" provided by CDC here.

  • GENERAL INFORMATION: Initial treatment is primarily supportive.
  • ANTIDOTE: Use of atropine is a mainstay of treatment for cholinergic toxicity.
    For pediatric patient/victims administer 0.02 mg/kg of atropine intravenously (IV). Repeat as necessary.
    For adult patient/victims administer 2 to 3 mg intravenously (IV). Repeat as necessary.
  • EYE:
    • Immediately remove the patient/victim from the source of exposure.
    • Immediately wash eyes with large amounts of tepid water for at least 15 minutes.
    • Seek medical attention immediately.
  • INGESTION:
    • Immediately remove the patient/victim from the source of exposure.
    • Ensure that the patient/victim has an unobstructed airway.
    • Do not induce vomiting (emesis).
    • Patient/victims often vomit spontaneously.
    • Only if airway is secured administer charcoal as a slurry (240 mL water/30 g charcoal). Usual dose: 25 to 100 g in adults/adolescents, 25 to 50 g in children (1 to 12 years), and 1 g/kg in infants less than 1 year old.
    • Do not administer antacids; alkaline conditions improve the absorption of nicotine.
    • Monitor heart function and evaluate for low blood pressure (hypotension), abnormal heart rhythms (dysrhythmias), and reduced respiratory function (respiratory depression).
    • Evaluate for low blood sugar (hypoglycemia), electrolyte disturbances, and low oxygen levels (hypoxia).
    • If evidence of shock or low blood pressure (hypotension) is observed, begin intravenous (IV) fluid administration. If fluid administration fails to reverse hypotension, dopamine and norepinephrine may be used.
    • If seizures occur, treat them with benzodiazepines.
    • Maintain adequate hydration and urine output.
    • Seek medical attention immediately.
  • INHALATION:
    • Immediately remove the patient/victim from the source of exposure.
    • Evaluate respiratory function and pulse.
    • Ensure that the patient/victim has an unobstructed airway.
    • Only if the airway is secured, administer charcoal as a slurry (240 mL water/30 g charcoal). Usual dose: 25 to 100 g in adults/adolescents, 25 to 50 g in children (1 to 12 years), and 1 g/kg in infants less than 1 year old.
    • If shortness of breath occurs or breathing is difficult (dyspnea), administer oxygen.
    • Assist ventilation as required. Always use a barrier or bag-valve-mask device.
    • If breathing has ceased (apnea), provide artificial respiration.
    • See the Ingestion section for first aid recommendations.
    • Seek medical attention immediately.
  • SKIN:
    • Immediately remove the patient/victim from the source of exposure.
    • See the Decontamination section for patient/victim decontamination procedures.
    • If signs of systemic exposure develop, see the Ingestion section for first aid recommendations.
    • Seek medical attention immediately.

See complete "Emergency Response Card" provided by the Centers for Disease Control here.