What should I do if I get nicotine poisoning?

In the case of nicotine poisoning, the patient will often appear conscious but will experience vomiting symptoms, and in the later stages will become confused. It is necessary to induce vomiting in a timely manner, or to use alternating gastric lavage with oleic acid solution and strong tea.

1. For patients with oral poisoning who are conscious, induce vomiting first and then perform gastric lavage. For patients who are confused, insert a gastric tube and perform gastric lavage immediately.

2. Use 1% to 3% tannic acid solution or strong tea as gastric lavage solution to promote the precipitation of nicotine and reduce absorption.

3. After washing, drink strong tea or tannic acid, or take medicine with charcoal suspension for absorption. Iodine can also form a difficult-to-absorb precipitate with nicotinic acid. It can be taken orally with 5-8 drops of iodine tincture added to 100 ml of water or 3-5 ml of 10% potassium iodide solution added to 50 ml of water, once every hour for 2-3 times.

4.1: (2000～5000) Potassium permanganate solution can also oxidize and destroy nicotine, and has the effect of stimulating the gastric mucosa to induce vomiting, so it can also be used for gastric lavage, or alternately with tannic acid solution and strong tea for gastric lavage. Residual toxins in the intestine can be cleared away with magnesium sulfate as a laxative and high-level enema of medicinal charcoal suspension.

5. Residual toxins in the intestine can be removed by laxative using magnesium sulfate or high-level enema using medicinal charcoal suspension. In case of skin contamination, rinse immediately with plenty of water or strong tea and wash thoroughly with soapy water. If inhaled, remove from contact immediately and breathe fresh air or oxygen.