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Barium Iodide Toxicity - Symptoms, Treatment, and Prevention

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Although the toxic consequences of barium iodide can be managed effectively, preventive measures should be prioritized at all levels. Read to know more.

Written by

Dr. Leenus A. E

Medically reviewed by

Dr. Kaushal Bhavsar

Published At June 15, 2023
Reviewed AtJune 15, 2023

Introduction

Toxicity has long been a reality for people. As the causes and scientific understanding of toxicity evolve, so do the chances for an accurate diagnosis and course of treatment. Iodine that combines with barium to form barium iodide, which is discussed in the article, is a halogen. Halogens are commonly employed in industrial applications worldwide, but when accidentally or purposefully discharged as chemical weapons during terrorist attacks, they are exceedingly poisonous and pose a serious threat to human life. It has been demonstrated that halogens like iodine affect systemic circulation and also cause heart injury. Since the mechanics of these injuries are mostly understood, there is no precise antidote.

Therefore, preventative measures should be prioritized. Total protection may not be practicable in some situations (industrial exposures, for example); thus, minimizing contamination should be the aim. Workers who might be exposed to chemical substances should take appropriate safety measures. Management ought to offer them without any restrictions. Health authorities should oversee the efficient implementation of these measures, and authorities should severely enforce the legislation. The prognosis is favorable with low exposure and early diagnosis. A poor prognosis is brought on by a delayed diagnosis and significant toxicity. In addressing challenging and serious situations, care provided in specialized institutions with testing and treatment capabilities may have an advantage.

What Is Barium Iodide?

Barium and iodine combine to form the inorganic substance known as barium iodide. Any chemical that contains iodine and has one negative charge as a result of accepting one electron to achieve the octet valence electronic configuration (atoms to become more stable) is referred to as an iodide by definition. In order to make a metal halide, the barium atom donates one electron, and the iodine atom accepts one electron to form barium iodide, an ionic molecule.

Two iodine atoms and one barium atom combine to produce an ionic combination. Barium iodide's molecular formula can be written as BaI2. Both the anhydrous (containing no water) and the hydrated forms of barium iodide are solids. It has an orthorhombic crystalline structure and occurs as a crystal.

Like other soluble barium salts, barium iodide is poisonous in nature. Compared to many other halide forms, it has a fairly small range of applications. It is employed in the synthesis of further iodide compounds, and it is not directly used in medicine.

What Are the Symptoms of Barium Iodide Toxicity?

Although barium is not digested by the body, it can be moved about or integrated into certain tissues or complexes. Barium is excreted in both urine and feces. Barium is a competitive potassium channel antagonist. Therefore, potassium is transferred from extracellular to intracellular compartments as a result of barium, blocking the passive efflux of intracellular potassium. Some of these barium effects might possibly result from the barium-induced depolarization of the membrane and neuromuscular inhibition. Because of the intracellular transfer of potassium, the resting membrane potential is lowered, which renders the muscle fibers electrically inactive, leading to paralysis.

The different barium compounds have varying health impacts depending on how effectively they dissolve in water or in the stomach contents. Barium stimulates muscles at low levels, but at greater concentrations, it affects the neurological system and can result in cardiac arrhythmias (an abnormal rhythm of the heart), tremors, weakness, anxiety, nausea, vomiting, diarrhea, respiratory problems, blood pressure changes, facial numbness, muscular weakness, dyspnea, paralysis, and even death. Additionally, barium may harm the kidneys, induce gastrointestinal problems, and reduce body weight.

Moreover, if barium comes into contact with eyes and skin and if inhaled, it may cause irritation and allergic reactions in certain individuals. And if ingested, it may induce digestive tract discomfort. This substance's toxicological characteristics have not been well studied. The muscle toxin barium ion stimulates muscles before paralyzing them. Myocardial and general muscle activation, together with tingling in the limbs, follow the first gastrointestinal symptoms of nausea, vomiting, colic, and diarrhea. Bone density may rise as a result of barium deposition.

Therefore, the exposure limit is 0.2 mg/kg/day orally. And with no information on exposure limit through other sources.

How Can Barium Iodide Toxicity Be Managed?

Intravenous infusion of potassium is the current effective management strategy for the symptoms of barium toxicity. Furthermore, if there was a contact with eyes, thoroughly rinse the eyes with water while periodically elevating the upper and lower eyelids for at least 15 minutes and get immediate medical attention. If skin contact occurs, thoroughly rinse the exposed skin, and remove the soiled shoes and clothing. Get medical help if irritation starts to begin and persists. If ingested, do not try to vomit or consume anything and get immediate help right away. If inhaled, move to an area with fresh air. And if the individual is not breathing, provide artificial respiration and seek medical attention immediately.

How Can Barium Iodide Toxicity Be Prevented?

Even though these metals have no biological role, they nonetheless have toxic consequences that are detrimental to the human body and its normal functioning. To manage, prevent, and treat metal poisoning that can arise at different degrees due to occupational exposure, accidents, and environmental causes, several public health interventions have been used. The absorbed dosage, the route of exposure, and the length of exposure—acute or chronic—are all factors in metal toxicity. This can result in a number of illnesses as well as excessive damage from the deposition of barium iodide in various organ tissues.

Wearing appropriate protective eyeglasses or chemical safety goggles, protective gloves to prevent skin exposure, protective clothing to prevent skin exposure, and using a respirator that has been authorized by NIOSH/MSHA or European Standard EN 149 are ways to prevent barium iodide toxicity.

Conclusion

The majority of intoxications may be managed symptomatically and, when necessary, with intensive care. Only a tiny fraction of patients can be treated with specific, efficient methods targeted at the specific offending substance. In some circumstances, poison information centers can support treatment planning and decision-making. These facilities give guidance, broad product knowledge, and, if required, assistance in setting up appropriate toxicological testing.

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Dr. Kaushal Bhavsar
Dr. Kaushal Bhavsar

Pulmonology (Asthma Doctors)

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