Disaster Medicine · MU Plovdiv

37. Disaster Medical Support to Area of Damage caused by Toxic Industrial Material – Ammonia

Inside: 7 sections · 3 min

Topic 37 of 46 in the MU Plovdiv syllabus for Disaster Medicine (Medicine, Year 3). The free AceMed note covers it in 7 sections, about 392 words (3 min of reading).

In this note

  1. Toxic Industrial Material- Ammonia- Characteristics. Medical Activities
  2. General characteristics of ammonia:
  3. Routes for exposure
  4. Pathogenesis:
  5. Clinical symptoms:
  6. Prevention:
  7. Treatment SOP:

Toxic Industrial Material- Ammonia- Characteristics. Medical Activities

Written by Anam Hussain

General characteristics of ammonia:

  • Ammonia is a colourless gas
  • Has pungent odour
  • It is a suffocating poison
  • is the most widespread industrial material
  • Lighter than air and highly soluble in water
  • Flammable
  • Air-ammonia mixture is heavier than air and explosive

Routes for exposure

  • Inhalation
  • Ingestion
  • Through damaged skin
  • Transported and stored in liquid form at low temperature and pressure (2 atm negative pressure | -33 degrees Celsius). Hence intoxication can occur due to storage and transport accidents
  • Intoxication mainly takes place due to industrial waste accidents

Pathogenesis:

  • Target organs: Respiratory system
  • When consumed, ammonia reacts with water in mucous membranes to form NH4+ and OH- ions
  • They cause colliquative necrosis of throughout entire route of e.g. eyes, nose, mouth, pharynx, larynx, trachea, oesophagus, lungs
  • When large amounts of ammonia inhaled, toxic-allergic oedema of vocal cords cause immediate death due to blocking air intake
  • When less ammonia inhaled, developing necrosis triggers different body reactions e.g.: lacrimation, hypersalivation, bronchorrhea via gland stimulation
  • When ammonia reaches lungs, before developing necrosis, causes extravasation of fluid in alveoli leading to pulmonary oedema
  • Levels of intoxication depends on quantity and routes of exposure and

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