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Sodium Fluoroacetate Poisoning - Effects, Treatment, and Prevention

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Sodium fluoroacetate is a toxic chemical compound used as a rodenticide, insecticide, and herbicide. Read to know the diagnosis and treatment for its toxicity.

Written by

Dr. Vandana Rai

Medically reviewed by

Dr. Kaushal Bhavsar

Published At October 31, 2023
Reviewed AtOctober 31, 2023

Introduction:

Sodium fluoroacetate poisoning is an extremely serious issue that often goes unnoticed. It is a form of cyanide poisoning that occurs when humans consume sodium fluoroacetate, a pesticide used to control rodents and other pests. Though this chemical has been banned in many countries, it remains a danger to humans, who are unaware of its presence in food and other products.

What Is Sodium Fluoroacetate?

Sodium fluoroacetate is a highly toxic compound used as a rodenticide and herbicide. It is a white, odorless powder that is soluble in water and has a bitter taste. This compound inhibits the action of enzymes that are involved in the Krebs cycle, resulting in the production of toxic fluorocitrate. Sodium fluoroacetate is rapidly absorbed from the gastrointestinal tract and distributed to all body tissues. Sodium fluoroacetate is used to kill rats, mice, gophers, rabbits, and other rodents. It is also used to kill coyotes, foxes, and other predators.

How Does Sodium Fluoroacetate Poison the Body?

When ingested, it quickly breaks down to release fluoride ions in the body, which are highly reactive and cause damage to cellular proteins, enzymes, and DNA (deoxyribonucleic acid). This leads to cell death and tissue damage, which can be fatal. Ingestion of just a few grams of sodium fluoroacetate can be lethal to humans. Symptoms of intoxication include vomiting, diarrhea, abdominal pain, hypotension, tachycardia, convulsions, and death. Treatment of sodium fluoroacetate poisoning is symptomatic and supportive. There is no specific antidote for this poison.

What Are the Effects of Sodium Fluoroacetate Poisoning?

When someone is poisoned with sodium fluoroacetate, also known as fluoroacetic acid or compound 1080, the initial symptoms may appear within a few minutes to a few hours after exposure. The acute (short-term) effects of sodium fluoroacetate poisoning can include nausea, vomiting, diarrhea, abdominal pain, weakness, dizziness, rapid breathing, rapid heartbeat, low blood pressure, headache, confusion, and seizures. In severe cases, the poisoning can lead to coma, respiratory failure, and death.

There is limited information on the chronic (long-term) effects of sodium fluoroacetate poisoning, as the chemical is highly toxic and exposure is rare. However, chronic exposure to this chemical may cause liver and kidney damage.

How to Diagnose Sodium Fluoroacetate Poisoning?

This poison is very dangerous and can be deadly if not treated quickly. Doctors can use a few ways to diagnose sodium fluoroacetate poisoning. First, they will ask about the symptoms and medical history. They will also do a physical examination and conduct blood and urine tests if poisoning is suspected. These tests can help to confirm the diagnosis and to determine the amount of toxicity in the body.

How to Treat Sodium Fluoroacetate Poisoning?

There is no known antidote for sodium fluoroacetate (compound 1080) poisoning in humans. Treatment for sodium fluoroacetate is focused more on supportive care and may include the following –

  • Decontamination: If a person has ingested the chemical, medications may induce vomiting or activated charcoal to absorb the poison. The affected area should be washed thoroughly with soap and water if the chemical has come into contact with the skin.

  • Supportive Care: A person may be given medications to control nausea and vomiting, manage pain, and support vital functions such as breathing and circulation. They may also receive fluids through a vein (intravenous fluids) to help prevent dehydration.

  • Monitoring: Close monitoring of vital signs and urine output is done, and patients may require mechanical ventilation and dialysis.

What Are the First Aid Measures for Sodium Fluoroacetate Poisoning?

The following are the first-aid measures one should take:

  • Eye Contact: Eyes should be thoroughly washed with water for at least 15 minutes to protect against eye damage.

  • Skin Contact:

    • One should immediately get rid of contaminated clothing.

    • Exposed areas of the skin should be thoroughly washed with soap and water.

  • Breathing:

    • The source of the poison should be eliminated as soon as possible.

    • In case of breathing difficulties, immediate medical help should be called for.

    • Cardiac pulmonary resuscitation (CPR) should be given if the person's heart has stopped beating.

    • Medical supervision is recommended for 24 to 48 hours after overexposure.

How to Prevent Sodium Fluoroacetate Poisoning?

In most cases, sodium fluoroacetate poisoning occurs when the chemical is ingested via contaminated water or food. Sodium fluoroacetate can also be absorbed through the skin.

Following are the steps one can take to prevent sodium fluoroacetate poisoning:

  • Keep Sodium Fluoroacetate Products Out of Reach: One should store products containing Sodium fluoroacetate, such as rodenticide, in a secure location where children and pets cannot access them. In addition, individuals should carefully follow the label instructions when using these products.

  • Wear Protective Clothing: While working with sodium fluoroacetate or other hazardous chemicals, one should wear protective clothing, such as gloves, goggles, and a face mask, to prevent contact with the skin or eyes.

  • Wash Hands Thoroughly: On coming into contact with sodium fluoroacetate or other hazardous chemicals, it is recommended to wash hands thoroughly with soap and water to remove any residue.

  • Disposal of Chemicals Properly: To dispose of products that contain sodium fluoroacetate or other hazardous chemicals, one should follow the instructions on the label or contact the local waste management agency for guidance. One should avoid pouring these chemicals down the drain or into the environment.

  • Seek Medical Attention: On exposure to sodium fluoroacetate or any other hazardous chemical, one should seek medical help immediately. Delay in seeking help can worsen the symptoms of poisoning. Hence, early intervention and prompt treatment can help to prevent complications, severe illness, or even death.

Conclusion:

Sodium fluoroacetate is a highly toxic chemical compound that can be fatal if ingested in large amounts. It has been used to control pests and as an insecticide, but it also presents a risk of human poisoning. Although this form of poisoning is relatively rare, it should still be taken seriously and treated promptly by a medical professional to avoid long-term health complications or even death. By understanding the risks associated with sodium fluoroacetate, people can take steps to prevent accidental exposure and reduce their chances of becoming ill from this dangerous toxin.

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Dr. Kaushal Bhavsar
Dr. Kaushal Bhavsar

Pulmonology (Asthma Doctors)

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